A Case of Carcinoid Tumor of the Vater's papilla, Accompanied by Liver Metastases and Lymph Node Metastases

Shigeo Hasegawa, Akira Suzuki, Yousuke Sakai Satoshi Ootsuka, Kumiko Suzuki Jun-ichi Kameyama and Shigeru Arai^*

Department of Surgery, Yamagata Prefectural Nihonkai Hospital
^*Department of Pathology, Yamagata Prefectural Nihonkai Hospital

We reported a case of carcinoid tumor of the Vater's papilla, accompanied by liver metastases and lymph node metastases. The patient was a 37-year-old women, who was admitted to our hospital for control of diabetes mellitus. As she had complained of some liver disfunction, several examinations were performed. By endoscopical and radiological investigations, a tumor approximately 4cm in diameters was found at the Vater's papilla. The biopsied specimen demonstrated a positive reaction to chromogranin A stain and Grimerius stain. This case was thus diagnosed as a carcinoid tumor of the Vater's papilla.
At operation, although there were two liver metastases at the surface of the liver S⁴ and regional lymph node metastases, we selected pancreatoduodenectomy with D₂lymph node dissection and enucleation of the liver metastases.
This patient is doing well without recurrence 2years 1month postoperatively.

Key words
carcinoid tumor of the Vater's papilla, liver metastasis of carcinoid tumor, pancreatoduodenectomy

Reprint requests
Shigeo Hasegawa Department of Surgery, Yamagata Prefectural Nihonkai Hospital 30 Akiho-cho, Sakata-city, 998-8501 JAPAN

Accepted
November 30, 1999

To read the PDF file you will need Abobe Reader installed on your computer.