A extremely rare case of polyp type cancer of the papilla of vater which spread to lower bile duct

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  • 胆管内に進展し閉塞性黄疸をきたしたポリープ型十二指腸乳頭部癌の1例

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Abstract

A 61-years-old man went to a clinic with high fever. Laboratory data showed liver dysfunction. At the first time symptoms and data recovered naturally, but same symptoms occurred four months later and pancreatic head swelling was pointed out. For the further examination and treatment, he was admitted to our hospital. Endoscopic retrograde cholangiopancreatography revealed a mass at the low bile duct. Abdominal enhanced computed tomography scan showed the enhanced tumor. Preoperative diagnosis was lower bile duct cancer and pylorus preserving pancreatoduodenectomy was performed. Pathological diagnosis was polyp type cancer of the papilla of Vater. It was difficult to differential diagnose between lower bile duct cancer and cancer of the papilla of Vater. We herein report an extremely rare case of polyp type cancer of the papilla of Vater that spread to lower bile duct.<br>

Journal

  • Tando

    Tando 25 (5), 768-773, 2011

    Japan Biliary Association

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