So-called Carcinosarcoma of a Duodenal Papilla -A Case Report-

Fujio Sugimoto*, Akinori Maruyama**, Isao Kurosaki, Kazuhiro Tsukada, Katsuyoshi Hatakeyama***

*Department of Surgery, Kariwagun General Hospital
**Heiseido Hospital
***Department of Surgery, Niigata University School of Medicine

We report a rare case of so-called carcinosarcoma in a duodenal papilla. A 64-year-old man was admitted to the hospital because of right upper quadrant abdominal pain accompanied by jaundice. PTCD-tube cholangiography showed complete obstruction in the end of the common bile duct and a tumor shadow protruding into the bile duct. Pancreato-duodenectomy was performed because of the preoperative diagnosis of papilla of Vater carcinoma. Histologically, the tumor was diagnosed as "so called carcinosarcoma" or "spindle (squamous) cell carcinoma with adenocarcinoma". Although the operation was curative resection, the patient died on the 78th postoperative day because of multiple liver metastasis.

Key words
carcinosarcoma, duodenal papilla

Reprint requests
Fujio Sugimoto Department of Surgery, Kariwagun General Hospital
2-11-3 Kitahanda, Kashiwazaki, 945 JAPAN

Accepted
June 11, 1997

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