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Case Reports
. 2009 Jun 7;15(21):2665-8.
doi: 10.3748/wjg.15.2665.

Bone and brain metastases from ampullary adenocarcinoma

Ioannis A Voutsadakis  1 , Stergios Doumas, Konstantinos Tsapakidis, Maria Papagianni, Christos N Papandreou
Affiliations
Case Reports

Bone and brain metastases from ampullary adenocarcinoma

Ioannis A Voutsadakis et al. World J Gastroenterol. .

Abstract

Ampullary carcinoma is the second most common cancer of the peri-ampullary area after pancreatic carcinoma and metastasizes mostly intra-abdominally and to the liver. Extra-abdominal metastases are less frequent. In this report we describe the case of a patient with resected adenocarcinoma of the ampulla of Vater who developed skeletal metastases in the lower extremity and brain metastases. We briefly discuss aspects of this comparatively rare gastrointestinal malignancy.

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Figures

Figure 1
Figure 1
X-ray. A: The right foot showing the radio-opaque metastatic lesion in the cuneiform bone; B: The right tibia showing a radiolucent metastatic lesion.
Figure 2
Figure 2
A whole body bone scan showing increased uptake in the right foot and tibia.
See this image and copyright information in PMC

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