Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report.
ampullary tumor
carcinoid tumor
gastrointestinal neuroendocrine tumor
incidental gastrointestinal neuroendocrine tumor
periampullary tumor
whipple procedure
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
accepted:
19
02
2023
entrez:
24
3
2023
pubmed:
25
3
2023
medline:
25
3
2023
Statut:
epublish
Résumé
A 63-year-old male with multiple co-morbidities presented with a diabetic foot infection which was treated surgically. During admission to the hospital, he developed melena and underwent an endoscopic assessment which revealed an incidental finding of an ampullary mass. The histological analysis of the biopsy revealed ampullary carcinoma with mixed intestinal-type and pancreatobiliary-type features. A magnetic resonance imaging (MRI) of the liver with contrast presented the tumor as an ill-defined small soft tissue lesion measuring 8 x 9 mm in the ampullary region, with multiple lymph nodes in the periportal, peripancreatic, and para-aortic regions. There was no evidence of biliary obstruction. The patient underwent a Whipple procedure with no complications. The final histology report of the specimens taken stated that the tumor is predominantly in the duodenum and focally in the ampulla, and is a well-differentiated neuroendocrine tumor confirmed to be submucosal. The histopathologic and radiologic workup determined the pathological stage classification to be pT3N1, Mx G1.
Identifiants
pubmed: 36960272
doi: 10.7759/cureus.35198
pmc: PMC10031288
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e35198Informations de copyright
Copyright © 2023, Nizam et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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