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Volume 13, Number 1, 2008
Planoepitheliale cell carcinoma arising from ampullopancreatic unit
Witold Kycler, Marek Teresiak
Summary:
Background We report a case of planoepitheliale cell carcinoma located in the ampulla of
Vater. We report the surgical results and pathological fi ndings of a patient with an ampullary planoepitheliale cell carcinoma. From what we know it is the first case with successful surgical treatment.
Case Report A 58-year-old woman who presented with jaundice and preoperative endoscopic
and radiological procedures could not show whether the tumour was carcinoma
planoepitheliale. The clinical presentation, biochemical, radiographic and endoscopic investigation pronounced advanced pancreatic adenocarcinoma.
Results We performed pancreaticoduodenectomy with curative intension. Histological
examination revealed: planoepitheliale cell carcinoma of the ampullo-pancreatic
unit.
Conclusions In conclusion, preoperative endoscopic and radiological evaluations can all prove insufficient to distinguish between benign and malignant tumour. Thus, for malignant
tumours surgeons may be forced to perform extensive surgery.
