Carcinosarcoma of the ampulla of Vater: a case report and literature review

Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer an...
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Autor*in:	Izumi, Hideki [verfasserIn] Yazawa, Naoki Furukawa, Daisuke Masuoka, Yoshihito Yamada, Misuzu Mashiko, Taro Kawashima, Yohei Ogawa, Masami Kawaguchi, Yoshiaki Mine, Tetsuya Hirabayashi, Kenichi Nakagohri, Toshio

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Carcinosarcoma Ampulla of Vater Pancreaticoduodenectomy

Anmerkung:	© The Author(s). 2016

Übergeordnetes Werk:	Enthalten in: Surgical case reports - Berlin : SpringerOpen, 2015, 2(2016), 1 vom: 27. Sept.
Übergeordnetes Werk:	volume:2 ; year:2016 ; number:1 ; day:27 ; month:09

Links:	Volltext

DOI / URN:	10.1186/s40792-016-0233-7

Katalog-ID:	SPR037752669

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520			\|a Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary.
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allfields	10.1186/s40792-016-0233-7 doi (DE-627)SPR037752669 (SPR)s40792-016-0233-7-e DE-627 ger DE-627 rakwb eng Izumi, Hideki verfasserin aut Carcinosarcoma of the ampulla of Vater: a case report and literature review 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. Carcinosarcoma (dpeaa)DE-He213 Ampulla of Vater (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Yazawa, Naoki aut Furukawa, Daisuke aut Masuoka, Yoshihito aut Yamada, Misuzu aut Mashiko, Taro aut Kawashima, Yohei aut Ogawa, Masami aut Kawaguchi, Yoshiaki aut Mine, Tetsuya aut Hirabayashi, Kenichi aut Nakagohri, Toshio aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 2(2016), 1 vom: 27. Sept. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:2 year:2016 number:1 day:27 month:09 https://dx.doi.org/10.1186/s40792-016-0233-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 27 09
spelling	10.1186/s40792-016-0233-7 doi (DE-627)SPR037752669 (SPR)s40792-016-0233-7-e DE-627 ger DE-627 rakwb eng Izumi, Hideki verfasserin aut Carcinosarcoma of the ampulla of Vater: a case report and literature review 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. Carcinosarcoma (dpeaa)DE-He213 Ampulla of Vater (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Yazawa, Naoki aut Furukawa, Daisuke aut Masuoka, Yoshihito aut Yamada, Misuzu aut Mashiko, Taro aut Kawashima, Yohei aut Ogawa, Masami aut Kawaguchi, Yoshiaki aut Mine, Tetsuya aut Hirabayashi, Kenichi aut Nakagohri, Toshio aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 2(2016), 1 vom: 27. Sept. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:2 year:2016 number:1 day:27 month:09 https://dx.doi.org/10.1186/s40792-016-0233-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 27 09
allfields_unstemmed	10.1186/s40792-016-0233-7 doi (DE-627)SPR037752669 (SPR)s40792-016-0233-7-e DE-627 ger DE-627 rakwb eng Izumi, Hideki verfasserin aut Carcinosarcoma of the ampulla of Vater: a case report and literature review 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. Carcinosarcoma (dpeaa)DE-He213 Ampulla of Vater (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Yazawa, Naoki aut Furukawa, Daisuke aut Masuoka, Yoshihito aut Yamada, Misuzu aut Mashiko, Taro aut Kawashima, Yohei aut Ogawa, Masami aut Kawaguchi, Yoshiaki aut Mine, Tetsuya aut Hirabayashi, Kenichi aut Nakagohri, Toshio aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 2(2016), 1 vom: 27. Sept. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:2 year:2016 number:1 day:27 month:09 https://dx.doi.org/10.1186/s40792-016-0233-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 27 09
allfieldsGer	10.1186/s40792-016-0233-7 doi (DE-627)SPR037752669 (SPR)s40792-016-0233-7-e DE-627 ger DE-627 rakwb eng Izumi, Hideki verfasserin aut Carcinosarcoma of the ampulla of Vater: a case report and literature review 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. Carcinosarcoma (dpeaa)DE-He213 Ampulla of Vater (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Yazawa, Naoki aut Furukawa, Daisuke aut Masuoka, Yoshihito aut Yamada, Misuzu aut Mashiko, Taro aut Kawashima, Yohei aut Ogawa, Masami aut Kawaguchi, Yoshiaki aut Mine, Tetsuya aut Hirabayashi, Kenichi aut Nakagohri, Toshio aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 2(2016), 1 vom: 27. Sept. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:2 year:2016 number:1 day:27 month:09 https://dx.doi.org/10.1186/s40792-016-0233-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 27 09
allfieldsSound	10.1186/s40792-016-0233-7 doi (DE-627)SPR037752669 (SPR)s40792-016-0233-7-e DE-627 ger DE-627 rakwb eng Izumi, Hideki verfasserin aut Carcinosarcoma of the ampulla of Vater: a case report and literature review 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. Carcinosarcoma (dpeaa)DE-He213 Ampulla of Vater (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Yazawa, Naoki aut Furukawa, Daisuke aut Masuoka, Yoshihito aut Yamada, Misuzu aut Mashiko, Taro aut Kawashima, Yohei aut Ogawa, Masami aut Kawaguchi, Yoshiaki aut Mine, Tetsuya aut Hirabayashi, Kenichi aut Nakagohri, Toshio aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 2(2016), 1 vom: 27. Sept. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:2 year:2016 number:1 day:27 month:09 https://dx.doi.org/10.1186/s40792-016-0233-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 27 09
language	English
source	Enthalten in Surgical case reports 2(2016), 1 vom: 27. Sept. volume:2 year:2016 number:1 day:27 month:09
sourceStr	Enthalten in Surgical case reports 2(2016), 1 vom: 27. Sept. volume:2 year:2016 number:1 day:27 month:09
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Carcinosarcoma Ampulla of Vater Pancreaticoduodenectomy
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container_title	Surgical case reports
authorswithroles_txt_mv	Izumi, Hideki @@aut@@ Yazawa, Naoki @@aut@@ Furukawa, Daisuke @@aut@@ Masuoka, Yoshihito @@aut@@ Yamada, Misuzu @@aut@@ Mashiko, Taro @@aut@@ Kawashima, Yohei @@aut@@ Ogawa, Masami @@aut@@ Kawaguchi, Yoshiaki @@aut@@ Mine, Tetsuya @@aut@@ Hirabayashi, Kenichi @@aut@@ Nakagohri, Toshio @@aut@@
publishDateDaySort_date	2016-09-27T00:00:00Z
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Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. 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author	Izumi, Hideki
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topic_title	Carcinosarcoma of the ampulla of Vater: a case report and literature review Carcinosarcoma (dpeaa)DE-He213 Ampulla of Vater (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213
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title	Carcinosarcoma of the ampulla of Vater: a case report and literature review
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title_full	Carcinosarcoma of the ampulla of Vater: a case report and literature review
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author_browse	Izumi, Hideki Yazawa, Naoki Furukawa, Daisuke Masuoka, Yoshihito Yamada, Misuzu Mashiko, Taro Kawashima, Yohei Ogawa, Masami Kawaguchi, Yoshiaki Mine, Tetsuya Hirabayashi, Kenichi Nakagohri, Toshio
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title_sort	carcinosarcoma of the ampulla of vater: a case report and literature review
title_auth	Carcinosarcoma of the ampulla of Vater: a case report and literature review
abstract	Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. © The Author(s). 2016
abstractGer	Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. © The Author(s). 2016
abstract_unstemmed	Background Carcinosarcoma of the ampulla of Vater is extremely rare, and to the best of our knowledge, this is the third reported study. Case presentation The patient was a 73-year-old man, who presented with a chief complaint of dark urine. After a work-up, we suspected duodenal papillary cancer and performed a subtotal stomach-preserving pancreaticoduodenectomy with lymph node dissection. Immunohistochemically, the sarcomatous atypical cells were diffusely positive for cytokeratin AE1&3 and vimentin and focally positive for α-smooth muscle actin; these cells were also negative for desmin, CD34, DOG1, c-kit, and S100. From these findings, we diagnosed the patient with so-called carcinosarcoma. There was no lymph node metastasis. Conclusions Carcinosarcoma of the ampulla of Vater has a poor prognosis, and lymph node metastases are often seen. For the complete cure of carcinosarcoma of the ampulla of Vater, resection with the dissection of the lymph nodes may be necessary. © The Author(s). 2016
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title_short	Carcinosarcoma of the ampulla of Vater: a case report and literature review
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author2	Yazawa, Naoki Furukawa, Daisuke Masuoka, Yoshihito Yamada, Misuzu Mashiko, Taro Kawashima, Yohei Ogawa, Masami Kawaguchi, Yoshiaki Mine, Tetsuya Hirabayashi, Kenichi Nakagohri, Toshio
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Carcinosarcoma of the ampulla of Vater: a case report and literature review

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