Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Sep 7, 2009; 15(33): 4199-4200
Published online Sep 7, 2009. doi: 10.3748/wjg.15.4199
Composite neuroendocrine and adenomatous carcinoma of the papilla of Vater
Joanna A Musialik, Maciej J Kohut, Tomasz Marek, Anatol Wodołażski, Marek Hartleb
Joanna A Musialik, Maciej J Kohut, Tomasz Marek, Marek Hartleb, Department of Gastroenterology and Hepatology, Medical University of Silesia, Medyków 14, Katowice 40-752, Poland
Joanna A Musialik, Department of Basic Biomedical Sciences, Medical University of Silesia, Kasztanowa 5, Sosnowiec 41-200, Poland
Anatol Wodołażski, Department of Pathomorphology, Medical University of Silesia, Medyków 14, Katowice 40-752, Poland
Author contributions: Musialik JA, Kohut MJ and Marek T collected data, Musialik JA, Wodołażski A and Hartleb M performed analysis and edited paper.
Correspondence to: Joanna A Musialik, MD, Department of Gastroenterology and Hepatology, Medical University of Silesia, Medyków 14, Katowice 40-752, Poland. jmusialik@sum.edu.pl
Telephone: +48-32-7894401 Fax: +48-32-7894401
Received: May 6, 2009
Revised: July 18, 2009
Accepted: July 25, 2009
Published online: September 7, 2009
Abstract

Malignant tumors of papilla are usually adenocarcinomas. We present a 67-year-old female who became icteric as result of a malignant tumor infiltrating the papilla of Vater. Histopathological assessment of surgically excised tumor showed both neuroendocrine and adenocarcinomatous features. To our knowledge, this is the seventh report of this rare neoplastic association in the duodenal periampullary region.

Keywords: Adenocarcinoid, Composite carcinoma, Carcinoma of Vater papilla, Carcinoid, Gastropancreatic neuroendocrine tumor