Planoepitheliale cell carcinoma arising from ampullo-pancreatic unit

SummaryBackgroundWe report a case of planoepitheliale cell carcinoma located in the ampulla of Vater. We report the surgical results and pathological findings of a patient with an ampullary planoepitheliale cell carcinoma. From what we know it is the first case with successful surgical treatment.Case ReportA 58-year-old woman who presented with jaundice and preoperative endoscopic and radiological procedures could not show whether the tumour was carcinoma planoepitheliale. The clinical presentation, biochemical, radiographic and endoscopic investigation pronounced advanced pancreatic adenocarcinoma.ResultsWe performed pancreaticoduodenectomy with curative intension. Histological examination revealed: planoepitheliale cell carcinoma of the ampullo-pancreatic unit.ConclusionsIn conclusion, preoperative endoscopic and radiological evaluations can all prove insufficient to distinguish between benign and malignant tumour. Thus, for malignant tumours surgeons may be forced to perform extensive surgery.