Ali Jafer, Khan Asad, Ahmed Mohamed H, Madhotra Ravi
Department of Gastroenterology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire, United Kingdom.
Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire, United Kingdom.
J Lab Physicians. 2021 Jul 29;13(4):384-387. doi: 10.1055/s-0041-1732810. eCollection 2021 Dec.
We report two cases of women with metastatic cancers to ampulla of Vater. The first was 91 years old and presented with severe anemia, due to upper gastrointestinal bleeding. She had history of renal cell cancer treated with nephrectomy 8 years ago and diagnosis confirmed to be metastasis of renal cell cancer to ampulla of Vater. The second patient was 54 years old with breast cancer, metastasis and developed obstructive jaundice; diagnosis confirmed to be breast metastasis in the ampulla of Vater. Secondary tumors of the ampulla of Vater due to breast cancer and renal cell cancer are rare findings and prognosis can be poor.
我们报告了两例患有 Vater 壶腹转移性癌症的女性病例。第一例患者91岁，因上消化道出血出现严重贫血。她8年前有肾细胞癌病史，接受过肾切除术，诊断证实为肾细胞癌转移至 Vater 壶腹。第二例患者54岁，患有乳腺癌并发生转移，出现梗阻性黄疸；诊断证实为乳腺癌转移至 Vater 壶腹。由乳腺癌和肾细胞癌引起的 Vater 壶腹继发性肿瘤是罕见的发现，预后可能较差。
