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Case Reports in Medicine
Volume 2011, Article ID 173036, 3 pages
http://dx.doi.org/10.1155/2011/173036
Case Report

The Rare Malignancy of the Hepatobiliary System: Ampullary Carcinoid Tumor

1Department of General Surgery, Manisa State Hospital, 45000 Manisa, Turkey
2Department of General Surgery, Dokuz Eylul University School of Medicine, Izmir, Turkey
3Department of Pathology, Manisa State Hospital, Manisa, Turkey
4Department of General Surgery, Merkezefendi State Hospital, Manisa, Turkey

Received 4 February 2011; Revised 9 April 2011; Accepted 12 April 2011

Academic Editor: Robert A. Kozol

Copyright © 2011 Mustafa Ozsoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Carcinoid tumors are low-grade tumors originating from endoderm and mostly involving the gastrointestinal system. However; they may be seen in any site within the gastrointestinal system. Case Presentation. A 69-year-old female patient. The results of blood tests were observed to be consistent with obstructive jaundice. A mass appearance was not encountered on tomographic examination. Papilla that was tumor-like macroscopically was seen in the second part of the duodenum in diagnostic endoscopy. Pylorus—preserving pancreaticoduodenectomy surgical procedure was applied. On pathological examination of the mass, a tumoral mass was detected in ampulla vateri localization, 1.5 × 1 × 0.8 cm in size, which, in immunohistochemical staining, was evaluated as a neuroendocrine tumor. Also, Metastasis was observed. Conclusion. The rarest type of carcinoid tumor is ampullary located carcinoid tumor, and tumor size is not a reliable indicator for tumor aggressivity in ampullary carcinoid tumors.