The survivor. Ampullary Adenoma changing to Adenocarcinoma – Long term observation of a patient refusing surgery and having two more primary malignancy (case report)
K Csefkó, M Varga · Zeitschrift für Gastroenterologie · 2015 · Heft 05
Bibliografische Angaben
Zusammenfassung
Introduction: Ampullary adenomas are dysplastic lesions of the Vater papilla. They can be sporadic or can occur as the part of FAP. It is important to distinguish this two types with respect to management and surveillance. Papillary adenomas have pre-malignant potential. They can undergo through an adenoma-carcinoma sequence. In our case an ampullary adenoma was diagnosed in 2004 but the patient refused treatment. In nine years he developed an adenocarcinoma. The curiosity of the case is that during this nine years he underwent a nephrectomy due to adenocarcinoma and was diagnosed with a pulmonary adenocarcinoma…