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Adenocarcinoma of the ampulla of Vater metastasising into the right ventricle
by
Frank, Herbert
, Kitzwögerer, Melitta
, Wiedemann, Dominik
, Moser, Magdalena
in
31-50 years
/ Adenocarcinoma - pathology
/ Adult
/ Albumins - administration & dosage
/ Ampulla of Vater - pathology
/ Ampulla of Vater - surgery
/ Antigens
/ Autopsies
/ Blood clots
/ Chemotherapy, Adjuvant
/ Common Bile Duct Neoplasms - pathology
/ Common Bile Duct Neoplasms - surgery
/ Cytokeratin
/ Deoxycytidine - administration & dosage
/ Deoxycytidine - analogs & derivatives
/ Europe (West)
/ Female
/ Heart
/ Heart Neoplasms - drug therapy
/ Heart Neoplasms - secondary
/ Heart Neoplasms - surgery
/ Heart Ventricles - surgery
/ Humans
/ Immunohistochemistry
/ Jaundice
/ Medical prognosis
/ Melanoma
/ Metastasis
/ Mutation
/ Neoplasm Recurrence, Local - pathology
/ Neoplasm Recurrence, Local - surgery
/ Ostomy
/ Paclitaxel - administration & dosage
/ Pancreatic cancer
/ Rare Disease
/ Tumors
/ White
2016
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Adenocarcinoma of the ampulla of Vater metastasising into the right ventricle
by
Frank, Herbert
, Kitzwögerer, Melitta
, Wiedemann, Dominik
, Moser, Magdalena
in
31-50 years
/ Adenocarcinoma - pathology
/ Adult
/ Albumins - administration & dosage
/ Ampulla of Vater - pathology
/ Ampulla of Vater - surgery
/ Antigens
/ Autopsies
/ Blood clots
/ Chemotherapy, Adjuvant
/ Common Bile Duct Neoplasms - pathology
/ Common Bile Duct Neoplasms - surgery
/ Cytokeratin
/ Deoxycytidine - administration & dosage
/ Deoxycytidine - analogs & derivatives
/ Europe (West)
/ Female
/ Heart
/ Heart Neoplasms - drug therapy
/ Heart Neoplasms - secondary
/ Heart Neoplasms - surgery
/ Heart Ventricles - surgery
/ Humans
/ Immunohistochemistry
/ Jaundice
/ Medical prognosis
/ Melanoma
/ Metastasis
/ Mutation
/ Neoplasm Recurrence, Local - pathology
/ Neoplasm Recurrence, Local - surgery
/ Ostomy
/ Paclitaxel - administration & dosage
/ Pancreatic cancer
/ Rare Disease
/ Tumors
/ White
2016
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Adenocarcinoma of the ampulla of Vater metastasising into the right ventricle
by
Frank, Herbert
, Kitzwögerer, Melitta
, Wiedemann, Dominik
, Moser, Magdalena
in
31-50 years
/ Adenocarcinoma - pathology
/ Adult
/ Albumins - administration & dosage
/ Ampulla of Vater - pathology
/ Ampulla of Vater - surgery
/ Antigens
/ Autopsies
/ Blood clots
/ Chemotherapy, Adjuvant
/ Common Bile Duct Neoplasms - pathology
/ Common Bile Duct Neoplasms - surgery
/ Cytokeratin
/ Deoxycytidine - administration & dosage
/ Deoxycytidine - analogs & derivatives
/ Europe (West)
/ Female
/ Heart
/ Heart Neoplasms - drug therapy
/ Heart Neoplasms - secondary
/ Heart Neoplasms - surgery
/ Heart Ventricles - surgery
/ Humans
/ Immunohistochemistry
/ Jaundice
/ Medical prognosis
/ Melanoma
/ Metastasis
/ Mutation
/ Neoplasm Recurrence, Local - pathology
/ Neoplasm Recurrence, Local - surgery
/ Ostomy
/ Paclitaxel - administration & dosage
/ Pancreatic cancer
/ Rare Disease
/ Tumors
/ White
2016
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Adenocarcinoma of the ampulla of Vater metastasising into the right ventricle
Journal Article
Adenocarcinoma of the ampulla of Vater metastasising into the right ventricle
2016
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Overview
A 43-year-old woman, after resected adenocarcinoma of the ampulla of Vater, presented dyspnoea and beginning signs of right heart failure. Echocardiography revealed a mass within the right ventricle (RV) suspicious for a metastasis of the known adenocarcinoma. The decision for surgical resection was made by cardiovascular MR, which was able to delineate the infiltrative growth of a metastasis. An extensive resection had to be performed. Parts of the intraventricular septum as well as the tricuspid valve had to be resected. After six cycles of adjuvant systemic chemotherapy with gemcitabine and nab-paclitaxel, the patient had no macroscopic tumour recurrence. To our knowledge, this is the first report of a pancreatobiliary tumour metastasising exclusively to the RV of the heart. We conclude that in this special case aggressive surgical management following chemotherapy was very effective in controlling the disseminated adenocarcinoma of the ampulla of Vater.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Adult
/ Albumins - administration & dosage
/ Ampulla of Vater - pathology
/ Antigens
/ Common Bile Duct Neoplasms - pathology
/ Common Bile Duct Neoplasms - surgery
/ Deoxycytidine - administration & dosage
/ Deoxycytidine - analogs & derivatives
/ Female
/ Heart
/ Heart Neoplasms - drug therapy
/ Humans
/ Jaundice
/ Melanoma
/ Mutation
/ Neoplasm Recurrence, Local - pathology
/ Neoplasm Recurrence, Local - surgery
/ Ostomy
/ Paclitaxel - administration & dosage
/ Tumors
/ White
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