A Case of Adenomatosis Coli Associated with Carcinoma of the Papilla of Vater and Adenoma of the Gallbladder.

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A 61-year-old female patient who had undergone excision of total colon and rectum with ileostomy in January 1985 for adenomatosis coli was treated in December 1988 for cancer of the papilla of Vater and adenoma of the gallbladder.<BR>She was admitted to our hospital because of right hypochondralgia. ERCP examination showed a tumor of the papilla of Vater and irregular filling defects in the gallbladder. A biopsy specimen revealed adenocarcinoma of the papilla of Vater. She underwent pancreatoduodenectomy in December 1988. Histologically, a cancer lesion measuring 2× 2×1 cm was identified as tubular adenocarcinoma of the papilla of Vater. There was no metastasis to lymph nodes or invasion to pancreas. The polyp of the gallbladder was adenoma. She progressed satisfactorily after the operation.
日本大腸肛門病学会の論文