Parthasarathy S, Pottakkat B, Yootla M, Reddy SN, Reddy KM Synchronous adenocarcinomas of the papilla major and minor. [Journal Article] JOP 2008; 9(3):332-4.
CONTEXT: Synchronous malignancies affecting both the major and minor papilla are rare and are usually of endocrine origin. CASE REPORT: A 60-year-old female presented with a two-week history of progressive jaundice and pruritus. Evaluation revealed features of a periampullary malignancy. A Whipple pancreaticoduodenectomy was done. There was a growth in the ampulla of Vater and another in the region of the minor duodenal papilla. On histopathology, both lesions were adenocarcinomas. CONCLUSION: Although rare, synchronous adenocarcinomas can occur in the major and minor papilla.
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