| Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc |
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Case Report
Volume 11, Number 3, June 2018, pages 231-234
Renal Cell Carcinoma Presenting as an Ampullary Mass: A Case Report and Review of Literature
Figure
Table
| Patient | Age | Gender | Diagnosis prior to ampullary metastasis? | Side of tumor | Staging of RCC at diagnosis | Time from nephrectomy to ampullary diagnosis | Symptoms | Outcome |
|---|---|---|---|---|---|---|---|---|
| 1 [8] | 50 | M | N | R | N/A | N/A | Jaundice, fever, malaise, fatigue, GI bleed/anemia, weight loss | Pancreatoduodenectomy (curative 5 years) |
| 2 [17] | 77 | M | Y (w/ nephrectomy) | R | Stage 4 | 3 years | Jaundice | Sunitinib, endoscopic excision with APC for palliation. Died of met dz 1.5 years |
| 3 [18] | 78 | F | Y (w/ nephrectomy) | L | Stage 2 | 10 years | Pruritus, melena, weight loss | Pancreatoduodenectomy (curative 2.5 years) |
| 4 [18] | 53 | M | Y (w/ nephrectomy) | R | Stage 3 | 8 years | Melena, weight loss | Megace, transduodenal resection with pancreatoduodenecomy, segmental jejunum resection, and retroperitoneal lymph node dissection for mets (curative 6.5 years) |
| 5 [19] | 64 | M | Y (w/ nephrectomy) | L | N/A | 11 years | Malaise, SOB, fatigue | Megace, surgical resection. Died of PE postoperatively. |
| 6 [20] | 70 | M | Y (w/ nephrectomy) | L | Stage 3 | 12 years | Weakness, melena | Whipple (curative) |
| 7 [7] | 52 | M | Y (w/ nephrectomy) | R and L | Stage 1b | 10 and 4 years | Weight loss, iron def anemia, malabsorption, steatorrhea | Choledochoduodenectomy |
| 8 [21] | 78 | F | Y (w/ nephrectomy) | R | N/A | 16 years | Anemia, weight loss, melena, upper GI bleed | Pancreaticoduodenectomy |
| 9 [21] | 68 | F | Y (w/ nephrectomy) | L | N/A | 6.5 years | Upper GI bleeding, epigastric pain | Classic pancreatodudenectomy |
| 10 [6] | 75 | M | Y (w/ nephrectomy) | L | N/A | 17.5 years | UGI bleed | Unknown |
| 11 [5] | 55 | F | Y (w/ nephrectomy) | L | Stage 1 | 2 years | Obstructive jaundice | Died of metastatic renal cell carcinoma |
| 12 (our case) | 60 | F | Y (w/ nephrectomy) | R | Stage 4 | 2 years | Fatigue, jaundice, nausea/vomiting |