Neuroendocrine tumour of the ampulla of Vater: a rare neoplasm at an atypical site

Authors

  • Abrar Zahid Department of Surgery Unit 1, Lahore General Hospital, Lahore, Pakistan
  • Danish Ali Department of Surgery Unit 1, Lahore General Hospital, Lahore, Pakistan
  • Muhammad Zubair Department of Surgery Unit 1, Lahore General Hospital, Lahore, Pakistan
  • Irfan Ahmed Department of Surgery Unit 1, Lahore General Hospital, Lahore, Pakistan
  • Tauseef Fatima Department of Surgery Unit 1, Lahore General Hospital, Lahore, Pakistan
  • Muhammad Farooq Afzal Department of Surgery Unit 1, Lahore General Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.47391/JPMA.1231

Abstract

Abstract

The periampullary neuroendocrine tumour is an infrequently occurring tumour. Its prevalence among gastrointestinal neuroendocrine neoplasms is less than 0.3%, and less than 2% out of periampullary tumours. These neoplasms have relatively poor prognosis. Jaundice and pain in the abdomen are the early and most commonly occurring symptoms with weight loss being a late event. The carcinoid syndrome presents infrequently in periampullary neuroendocrine tumour and happens only if hepatic metastasis occurs. In this scenario, histopathology plays a paramount role in the diagnosis. Specific immunohistochemical staining is used for diagnosis while the treatment options are local excision, endoscopic excision and pancreaticoduodenectomy. Here is a case report of a 42-year-old patient who presented with complaint of obstructive jaundice for one month. Periampullary carcinoid tumour was diagnosed on biopsy, and she underwent Pancreaticoduodenectomy as treatment. Continuou...

 

Published

2020-11-08

How to Cite

Abrar Zahid, Danish Ali, Muhammad Zubair, Irfan Ahmed, Tauseef Fatima, & Muhammad Farooq Afzal. (2020). Neuroendocrine tumour of the ampulla of Vater: a rare neoplasm at an atypical site. Journal of the Pakistan Medical Association, 1-10. https://doi.org/10.47391/JPMA.1231

Issue

Section

Case Report