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báo cáo khoa học: "A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater: a case report and review of the literature | Athanasopoulos et al. World Journal of Surgical Oncology 2011 9 4 http www.wjso.eom content 9 1 4 5 t WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater a case report and review of the literature D-in nir ii ic fT ilr tc Mik l c ilr tc4 ni2 C-f-Ti-fx l-i4 Alilzi Tx mr o2 p i kf iri3 Pdndgiotis G Atl Idndsopoulos INikoldos Alkduupuuius Vdnid Stdiyld Aliki lympd Evi Kdlll Charlotte Ryzmdn-Louloudis1 Vdssilios Smyrniotis4 Abstract Cdrcinoid tumours of the common bile duct represent dn extremely rdre entity. Simildrly primdry folliculdr lymphomds of the dmpulld of Vdter constitute dn infrequent neopldsid. Herein we report the first cdse of d synchronous development of d cdrcinoid tumour of the common bile duct dnd dn dmpulldry folliculdr lymphomd thdt wds tredted surgicdlly with d Whipple s procedure due to indbility to estdblish definitive preoperdtive didgnosis despite the extensive didgnostic investigdtion. Background Carcinoid tumours of the extrahepatic bile duct EHBD represent extremely rare lesions. These neoplasms account for 0.1 to 0.3 of all gastrointestinal carcinoid tumours 1 . Unlike cholangiocarcinomas bile duct carcinoids occur more commonly in younger patients and in women 2 . Altogether 70 patients with carcinoid tumours arising from the biliary tree have been reported in the literature 3 . Similarly follicular lymphomas of the ampulla of Vater represent an infrequent entity accounting for only 1-3.8 of all gastrointestinal lymphomas 4 with only a few cases reported in the literature 4 5 . Interestingly these cases most commonly occured in women. We report the first case of a synchronous carcinoid tumour of the EHBD and an ampullary follicular lymphoma that was treated surgically. Case Presentation A 43-year old Caucasian male with no remarkable medical history was referred to our clinic with intermittent jaundice and a 1-month .