Laparotomy site implantation metastasis of carcinoma of the papilla of Vater

Introduction Carcinomas of the papilla of Vater make up a heterogeneous group of tumours arising from different types of epithelium. Regional lymph nodes, liver and lungs are the primary sites of metastatic progression of these tumours. Case presentation We present a patient with an abdominal incisi...

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Bibliographic Details
Published in:	Scottish medical journal Vol. 62; no. 3; p. 119
Main Authors:	Radojkovic, Milan, Gligorijevic, Jasmina, Stojanovic, Miroslav, Stanojevic, Goran, Ilic, Ivan
Format:	Journal Article
Language:	English
Published:	Scotland 01-08-2017
Subjects:	Abdomen - pathology Abdomen - surgery Adenocarcinoma - secondary Adenocarcinoma - surgery Ampulla of Vater - pathology Ampulla of Vater - surgery Carcinoma - pathology Carcinoma - surgery Humans Laparotomy - adverse effects Male Middle Aged Pancreaticoduodenectomy Treatment Outcome implantation Papilla carcinoma metastasis Vater
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Summary:	Introduction Carcinomas of the papilla of Vater make up a heterogeneous group of tumours arising from different types of epithelium. Regional lymph nodes, liver and lungs are the primary sites of metastatic progression of these tumours. Case presentation We present a patient with an abdominal incision site metastasis of low-grade (mixed type) adenocarcinoma of the papilla of Vater one year after pylorus-preserving pancreaticoduodenectomy. Implantation metastasis of low-grade ampullary carcinoma in the laparotomy wound after open Whipple's procedure is unusual. Conclusion Adjuvant chemoradiation might be considered for patients with low-grade localised disease as a potentially preventative measure vs. metastatic progression.
ISSN:	0036-9330
DOI:	10.1177/0036933017715958