A Case of Normal-type Early Carcinoma of the Papilla of Vater

Osamu Yamada, Shoji Uetsuji, Masanori Uehara, A-Hon Kwon, Yasuo Kamiyama

First Department of Surgery, Kansai Medical University

We report the case of a 69-year-old man with normal-type early carcinoma of the papilla of Vater. Upper GI and duodenofiberscopy showed redness and swelling of the papilla of Vater, and we suspected carcinoma. Repeated endoscopic biopsies of the papilla of Vater showed group IV, well differentiated adenocarcinoma. Radical pancreaticoduodenectomy was performed. The papilla of Vater was 7×7 mm in diameter, normal type. Histological findings showed early carcinoma of the papilla of Vater, special type, well differentiated adenocarcinoma, m, panc₀, d₀, 1y₀, v₀, ow(-), aw(-), but adenoma was not observed. It was suggested that this case was early carcinoma of the papilla of Vater originating from de novo cancer.

Key words
carcinoma of the papilla of Vater, asymptomtic psncreas cancer, pancreaticoduodenectomy

Reprint requests
Osamu Yamada First Department of Surgery, Kansai Medical University
1 Fumizono-cho, Moriguchi, 570 JAPAN

Accepted
April 13, 1994

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