Ozsoy Mustafa, Ozsoy Yucel, Canda Aras Emre, Nalbant Olcay Ak, Haskaraca Fatih
Department of General Surgery, Manisa State Hospital, 45000 Manisa, Turkey.
Case Rep Med. 2011;2011:173036. doi: 10.1155/2011/173036. Epub 2011 May 31.
Introduction. Carcinoid tumors are low-grade tumors originating from endoderm and mostly involving the gastrointestinal system. However; they may be seen in any site within the gastrointestinal system. Case Presentation. A 69-year-old female patient. The results of blood tests were observed to be consistent with obstructive jaundice. A mass appearance was not encountered on tomographic examination. Papilla that was tumor-like macroscopically was seen in the second part of the duodenum in diagnostic endoscopy. Pylorus-preserving pancreaticoduodenectomy surgical procedure was applied. On pathological examination of the mass, a tumoral mass was detected in ampulla vateri localization, 1.5 × 1 × 0.8 cm in size, which, in immunohistochemical staining, was evaluated as a neuroendocrine tumor. Also, Metastasis was observed. Conclusion. The rarest type of carcinoid tumor is ampullary located carcinoid tumor, and tumor size is not a reliable indicator for tumor aggressivity in ampullary carcinoid tumors.
引言。类癌肿瘤是起源于内胚层的低度肿瘤,主要累及胃肠道系统。然而,它们可见于胃肠道系统内的任何部位。病例报告。一名69岁女性患者。血液检查结果显示与梗阻性黄疸相符。断层扫描检查未发现肿块表现。诊断性内镜检查时,在十二指肠第二部可见肉眼呈肿瘤样的乳头。实施了保留幽门的胰十二指肠切除术。对肿块进行病理检查时,在 Vater壶腹部位检测到一个肿瘤性肿块,大小为1.5×1×0.8厘米,免疫组化染色评估为神经内分泌肿瘤。此外,观察到有转移。结论。壶腹类癌肿瘤是类癌肿瘤中最罕见的类型,肿瘤大小不是壶腹类癌肿瘤侵袭性的可靠指标。