CC BY-NC-ND 4.0 · J Lab Physicians 2013; 5(02): 139-141
DOI: 10.4103/0974-2727.119875
Case Report

Periampullary Adenocarcinoid: Diagnostic Dilemma

Rashmi Krishnappa
Department of Pathology, M S Ramaiah Medical College and Teaching Hospital, Bangalore, India
,
Sudha Horakerappa Metikurke
Department of Pathology, M S Ramaiah Medical College and Teaching Hospital, Bangalore, India
,
Sridhar Honnappa
Department of Pathology, M S Ramaiah Medical College and Teaching Hospital, Bangalore, India
,
Rudresh Hosakote
Department of General Surgery, M S Ramaiah Medical College and Teaching Hospital, Bangalore, India
,
Nagesh Kumar Talkad Chandrashekar
Department of General Medicine, M S Ramaiah Medical College and Teaching Hospital, Bangalore, India
› Author Affiliations

Source of Support: Nil.

ABSTRACT

The growth in periampullary region needs proper evaluation as they can arise from duodenum, pancreas and extra hepatic biliary tree. We have reported a case of adenocarcinoid of duodenum presenting as periampullary growth with obstructive jaundice. Histologically, tumor displayed biphasic pattern, i.e. tubuloglandular architecture with admixed sheets of neuroendocrine cells without pancreas and extra hepatic biliary tree involvement. The adenocarcinoids are of great diagnostic challenges for the pathologist interpreting endoscopic biopsy for the frequent misinterpretation as negative due to their submucosal location or as adenocarcinomas due to tubulo-glandular architecture.



Publication History

Article published online:
07 April 2020

© 2013.

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