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A Case of Obstructive Jaundice Caused by Metastasis of Ovarian Cancer to the Duodenal Major Papilla
- Source :
- Clinical Medicine Insights. Case Reports, Clinical Medicine Insights: Case Reports, Vol 11 (2018)
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- Ovarian cancer often occurs distant metastasis to the peritoneum, liver, lungs, and lymph nodes. However, there has been no reported case of direct metastasis to the duodenal major papilla. We herein reported 72-year-old woman with history of ovarian cancer surgery 11 years ago presenting with obstructive jaundice. Abdominal CT showed a small mass in the distal bile duct. Forceps biopsy from the small mass was done under endoscopic retrograde cholangiography, and histologic examination revealed adenocarcinoma. Pancreaticoduodenectomy was performed and diagnosed immunohistochemically direct metastasis to the papilla from ovarian cancer. The duodenal major papilla is known to be rich in lymph vessels, and these lymph vessels are considered the likely pathway of metastasis in this case.
- Subjects :
- Pathology
medicine.medical_specialty
Case Report
Metastasis
03 medical and health sciences
ERCP
0302 clinical medicine
Peritoneum
Ovarian cancer
medicine
lcsh:R5-920
business.industry
ampullary metastasis
Distant metastasis
General Medicine
medicine.disease
Major duodenal papilla
medicine.anatomical_structure
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Obstructive jaundice
Lymph
lcsh:Medicine (General)
business
obstructive jaundice
Subjects
Details
- Language :
- English
- ISSN :
- 11795476
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Clinical Medicine Insights. Case Reports
- Accession number :
- edsair.doi.dedup.....9ccdc5b9785db4be19b2aa0cc33f2dfe