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Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report

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...

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Detalles Bibliográficos
Autores principales: Nizam, Anjala, Saleem, Nadia M, Albakri, Tiba A, Saber, Amir, Farhan, Rabia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10031288/
https://www.ncbi.nlm.nih.gov/pubmed/36960272
http://dx.doi.org/10.7759/cureus.35198
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author Nizam, Anjala
Saleem, Nadia M
Albakri, Tiba A
Saber, Amir
Farhan, Rabia
author_facet Nizam, Anjala
Saleem, Nadia M
Albakri, Tiba A
Saber, Amir
Farhan, Rabia
author_sort Nizam, Anjala
collection PubMed
description 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.
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spelling pubmed-100312882023-03-22 Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report Nizam, Anjala Saleem, Nadia M Albakri, Tiba A Saber, Amir Farhan, Rabia Cureus Gastroenterology 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. Cureus 2023-02-19 /pmc/articles/PMC10031288/ /pubmed/36960272 http://dx.doi.org/10.7759/cureus.35198 Text en Copyright © 2023, Nizam et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Nizam, Anjala
Saleem, Nadia M
Albakri, Tiba A
Saber, Amir
Farhan, Rabia
Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report
title Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report
title_full Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report
title_fullStr Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report
title_full_unstemmed Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report
title_short Incidental Finding of a Periampullary Neuroendocrine Tumor: A Case Report
title_sort incidental finding of a periampullary neuroendocrine tumor: a case report
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10031288/
https://www.ncbi.nlm.nih.gov/pubmed/36960272
http://dx.doi.org/10.7759/cureus.35198
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