Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature
Abstract Background Carcinosarcoma is a rare tumor that includes both carcinoma and sarcoma components. It develops commonly in the female reproductive tract, most often in the uterus. However, as there are a small number of similar cases in the English literature, we would like to present a rare ca...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2019-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0575-z |
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| author | Rumi Itoyama Yo-ichi Yamashita Yosuke Nakao Toshihiko Yusa Naoki Umezaki Takanobu Yamao Shigeki Nakagawa Hirohisa Okabe Katsunori Imai Hiromitsu Hayashi Daisuke Hashimoto Akira Chikamoto Hideo Baba |
| author_facet | Rumi Itoyama Yo-ichi Yamashita Yosuke Nakao Toshihiko Yusa Naoki Umezaki Takanobu Yamao Shigeki Nakagawa Hirohisa Okabe Katsunori Imai Hiromitsu Hayashi Daisuke Hashimoto Akira Chikamoto Hideo Baba |
| author_sort | Rumi Itoyama |
| collection | DOAJ |
| description | Abstract Background Carcinosarcoma is a rare tumor that includes both carcinoma and sarcoma components. It develops commonly in the female reproductive tract, most often in the uterus. However, as there are a small number of similar cases in the English literature, we would like to present a rare case of a carcinosarcoma in Vater’s papilla. Case presentation A 76-year-old female patient was preoperatively diagnosed with a papillary adenocarcinoma in Vater’s papilla by endoscopic biopsy. The patient underwent subtotal stomach-preserving pancreaticoduodenectomy, and postoperative pathological examination diagnosed the carcinosarcoma. The patient received adjuvant chemotherapy with gemcitabine, but multiple liver metastases were found 3 months after the operation. Though chemotherapy with gemcitabine and cisplatin was introduced, she died owing to tumor progression 7 months after the operation. Conclusion Because carcinosarcoma of Vater’s papilla is a rare disease, a suitable treatment strategy has been unclear. We also present a review of the English literature regarding carcinosarcoma of Vater’s papilla. |
| format | Article |
| id | doaj-art-4e7a879c4b9d4fe8a3a20f4c18d9d5e8 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4e7a879c4b9d4fe8a3a20f4c18d9d5e82025-08-20T03:14:41ZengJapan Surgical SocietySurgical Case Reports2198-77932019-01-01511510.1186/s40792-019-0575-zCarcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literatureRumi Itoyama0Yo-ichi Yamashita1Yosuke Nakao2Toshihiko Yusa3Naoki Umezaki4Takanobu Yamao5Shigeki Nakagawa6Hirohisa Okabe7Katsunori Imai8Hiromitsu Hayashi9Daisuke Hashimoto10Akira Chikamoto11Hideo Baba12Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Kumamoto University Graduate School of Medical SciencesAbstract Background Carcinosarcoma is a rare tumor that includes both carcinoma and sarcoma components. It develops commonly in the female reproductive tract, most often in the uterus. However, as there are a small number of similar cases in the English literature, we would like to present a rare case of a carcinosarcoma in Vater’s papilla. Case presentation A 76-year-old female patient was preoperatively diagnosed with a papillary adenocarcinoma in Vater’s papilla by endoscopic biopsy. The patient underwent subtotal stomach-preserving pancreaticoduodenectomy, and postoperative pathological examination diagnosed the carcinosarcoma. The patient received adjuvant chemotherapy with gemcitabine, but multiple liver metastases were found 3 months after the operation. Though chemotherapy with gemcitabine and cisplatin was introduced, she died owing to tumor progression 7 months after the operation. Conclusion Because carcinosarcoma of Vater’s papilla is a rare disease, a suitable treatment strategy has been unclear. We also present a review of the English literature regarding carcinosarcoma of Vater’s papilla.http://link.springer.com/article/10.1186/s40792-019-0575-zCarcinosarcomaVater’s papillaStomach-preserving pancreaticoduodenectomyChemotherapy |
| spellingShingle | Rumi Itoyama Yo-ichi Yamashita Yosuke Nakao Toshihiko Yusa Naoki Umezaki Takanobu Yamao Shigeki Nakagawa Hirohisa Okabe Katsunori Imai Hiromitsu Hayashi Daisuke Hashimoto Akira Chikamoto Hideo Baba Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature Surgical Case Reports Carcinosarcoma Vater’s papilla Stomach-preserving pancreaticoduodenectomy Chemotherapy |
| title | Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature |
| title_full | Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature |
| title_fullStr | Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature |
| title_full_unstemmed | Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature |
| title_short | Carcinosarcoma of Vater’s papilla: case report of a rare neoplasm and review of the literature |
| title_sort | carcinosarcoma of vater s papilla case report of a rare neoplasm and review of the literature |
| topic | Carcinosarcoma Vater’s papilla Stomach-preserving pancreaticoduodenectomy Chemotherapy |
| url | http://link.springer.com/article/10.1186/s40792-019-0575-z |
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