Carcinosarcoma of Vater's papilla: case report of a rare neoplasm and review of the literature

被引:0
作者
Itoyama, Rumi [1 ]
Yamashita, Yo-ichi [1 ]
Nakao, Yosuke [1 ]
Yusa, Toshihiko [1 ]
Umezaki, Naoki [1 ]
Yamao, Takanobu [1 ]
Nakagawa, Shigeki [1 ]
Okabe, Hirohisa [1 ]
Imai, Katsunori [1 ]
Hayashi, Hiromitsu [1 ]
Hashimoto, Daisuke [1 ,2 ]
Chikamoto, Akira [1 ]
Baba, Hideo [1 ]
机构
[1] Kumamoto Univ, Grad Sch Med Sci, Dept Gastroenterol Surg, 1-1-1 Honjo, Kumamoto 8608556, Japan
[2] Omuta Tenryo Hosp, Dept Gastroenterol Surg, 1-100 Tenryo, Omuta 8368566, Japan
关键词
Carcinosarcoma; Vater's papilla; Stomach-preserving pancreaticoduodenectomy; Chemotherapy; BILIARY DRAINAGE; PULMONARY CARCINOSARCOMA; SARCOMATOID CARCINOMA; FDG-PET/CT; AMPULLA; CHEMOTHERAPY; CARBOPLATIN; IMPACT;
D O I
10.1186/s40792-019-0575-z
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundCarcinosarcoma is a rare tumor that includes both carcinoma and sarcoma components. It develops commonly in the female reproductive tract, most often in the uterus. However, as there are a small number of similar cases in the English literature, we would like to present a rare case of a carcinosarcoma in Vater's papilla.Case presentationA 76-year-old female patient was preoperatively diagnosed with a papillary adenocarcinoma in Vater's papilla by endoscopic biopsy. The patient underwent subtotal stomach-preserving pancreaticoduodenectomy, and postoperative pathological examination diagnosed the carcinosarcoma. The patient received adjuvant chemotherapy with gemcitabine, but multiple liver metastases were found 3months after the operation. Though chemotherapy with gemcitabine and cisplatin was introduced, she died owing to tumor progression 7months after the operation.ConclusionBecause carcinosarcoma of Vater's papilla is a rare disease, a suitable treatment strategy has been unclear. We also present a review of the English literature regarding carcinosarcoma of Vater's papilla.
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