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송혜근 ( Hae Geun Song ),유교상 ( Kyo Sang Yoo ),주나래 ( Na Rae Ju ),박진철 ( Jin Chul Park ),정재원 ( Jae One Jung ),신운건 ( Woon Geon Shin ),문준호 ( Joon Ho Moon ),김종표 ( Jong Pyo Kim ),김경오 ( Kyoung Oh Kim ),박철희 ( Che 대한소화기학회 2006 대한소화기학회지 Vol.48 No.2
Adenosquamous carcinoma of the papilla of Vater is a rare tumor and only a few cases have been reported so far. Here, we report a case of adenosquamous carcinoma in a 76-year-old male who presented with jaundice and right upper quadrant abdominal pain. Ultrasonography and enhanced abdominal CT scans showed dilated common bile duct (CBD) and intrahepatic bile duct (IHD) with a suspicious obstructing mass in distal CBD. On endoscopy, obstructing and ulcerated mass was noted on the papilla of Vater. Histopathological inspection of the biopsied specimens from mass showed adenosquamous cell carcinoma of the papilla of Vater. Since the patient refused operation, we inserted a self-expandable metallic stent in distal CBD. This is the first case report on adenosquamous carcinoma of the papilla of Vater in Korea. (Korean J Gastroenterol 2006;48:132-136)