[症例報告]Carcinoma of the papilla of Vater in a patient with carcinoma and multiple adenomas of the colon

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A case of carcinoma of the papilla of Vater in concurrence with carcinoma and mdtiple adenomas of the colon is reported. A 60-year-old man developed upper abdominal pain on April 4, 1992, when upper gastrointestinal endoscopy revealed a tumor of the papilla of Vater. Microscopic exanimation of biopsy specimens from the tumor showed adenocarcinoma. He was admitted to the Ryukyu University Hospital on June 14 for surgery. Sigmoid carcinoma with a hepatic metastasis was incidentally detected at laparotomy. Thus, pancreatoduodenectomy and sigmoidectomy were performed. Pathologic examination showed papillary adenocarcinoma in the papilla of the Vater and moderately differentiated adenocarcinoma and tubular adenoma in the colon. He has been doing well for the past 2 years since surgery. There was no family history of familial adenomatosis coli. It is generally accepted that adenomas of the papilla of Vater and duodenum occur highly in patients with familial adenomatosis coli. For even patients with non familial adenomatosis coli, when an adenoma or a carcinoma of the papilla of Vater is diagnosed, colonoscopy should be recommended to find colonic adenomas or carcinomas.
琉球医学会,Ryukyu Medical Associationの論文