Carcinosarcoma of the ampulla of Vater: a case report and literature review

被引:0
|
作者
Izumi, Hideki [1 ]
Yazawa, Naoki [1 ]
Furukawa, Daisuke [1 ]
Masuoka, Yoshihito [1 ]
Yamada, Misuzu [1 ]
Mashiko, Taro [1 ]
Kawashima, Yohei [2 ]
Ogawa, Masami [2 ]
Kawaguchi, Yoshiaki [2 ]
Mine, Tetsuya [2 ]
Hirabayashi, Kenichi [3 ]
Nakagohri, Toshio [1 ]
机构
[1] Tokai Univ, Dept Gastrointestinal Surg, Sch Med, 143 Shimokasuya, Isehara, Kanagawa 2591193, Japan
[2] Tokai Univ, Dept Internal Med, Sch Med, 143 Shimokasuya, Isehara, Kanagawa 2591193, Japan
[3] Tokai Univ, Dept Pathol, Sch Med, 143 Shimokasuya, Isehara, Kanagawa 2591193, Japan
来源
SURGICAL CASE REPORTS | 2016年 / 2卷
关键词
Carcinosarcoma; Ampulla of Vater; Pancreaticoduodenectomy;
D O I
10.1186/s40792-016-0233-7
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation: The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for a-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions: Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary.
引用
收藏
页数:5
相关论文
共 50 条
  • [31] Mixed Endocrine Somatostatinoma of the Ampulla of Vater Associated with a Neurofibromatosis Type 1: A Case Report and Review of the Literature
    Deschamps, Lydia
    Dokmak, Safi
    Guedj, Nathalie
    Ruszniewski, Philippe
    Sauvanet, Alain
    Couvelard, Anne
    JOURNAL OF THE PANCREAS, 2010, 11 (01): : 64 - 68
  • [32] Neuroendocrine Tumor of the Ampulla of Vater: A Case Report
    Aman, Mohammad S.
    Das, Bidhan C.
    Islam, Aminul
    Arefin, Murshidul
    Gupta, Satya N.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (05)
  • [33] Mixed adenoneuroendocrine carcinoma of the ampulla of Vater: Three case reports and a literature review
    Sung, Min Kyu
    Lee, Woohyung
    Hong, Sarang
    Park, Yejong
    Kwak, Bong Jun
    Song, Ki Byung
    Lee, Jae Hoon
    Hwang, Dae Wook
    Kim, Song Cheol
    ANNALS OF HEPATO-BILIARY-PANCREATIC SURGERY, 2023, 27 (01) : 107 - 113
  • [34] Neuroendocrine tumor of the ampulla of Vater. Review of the literature
    Moreno, Miguel Ruiz
    Vitoria, Maria Angeles Nieto
    Lozano, Maria Gomez
    Perez, Blanca Gallego
    Bernabe, Carmen Maria Marin
    Sanz, Nuria Martinez
    Crespo, Juan Jose Martinez
    REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS, 2023, 115 (02) : 99
  • [35] Skull metastasis of ampulla of Vater adenocarcinoma 5 years after Whipple operation: case report and literature review
    Hopf, Silke
    Buchalla, Ruediger
    Scheil, Folkert
    Heusermann, Ulrich
    Boerm, Wolfgang
    JOURNAL OF NEURO-ONCOLOGY, 2009, 95 (01) : 141 - 145
  • [36] Biliary obstruction and pancreatitis caused by Brunner's gland hyperplasia of the ampulla of vater: A case report and review of the literature
    Mayoral, W
    Salcedo, JA
    Montgomery, E
    Al-Kawas, FH
    ENDOSCOPY, 2000, 32 (12) : 998 - 1001
  • [37] Carcinosarcoma of the skin - Case report and literature review
    Biernat, W
    Kordek, R
    Liberski, PP
    Wozniak, L
    AMERICAN JOURNAL OF DERMATOPATHOLOGY, 1996, 18 (06) : 614 - 619
  • [38] Carcinosarcoma of the colon: Report of a case and review of the literature
    Nakao, A
    Sakagami, K
    Uda, M
    Mitsuoka, S
    Ito, H
    JOURNAL OF GASTROENTEROLOGY, 1998, 33 (02) : 276 - 279
  • [39] CARCINOSARCOMA OF STOMACH - REPORT OF A CASE AND REVIEW OF THE LITERATURE
    AYRAL, X
    CORNUD, F
    FAVRIEL, JM
    BOCQUET, L
    DEBRAY, C
    GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 1980, 4 (05): : 362 - 367
  • [40] Gallbladder carcinosarcoma: A case report and literature review
    Huguet, KL
    Hughes, CB
    Hewitt, WR
    JOURNAL OF GASTROINTESTINAL SURGERY, 2005, 9 (06) : 818 - 821