title: Skull metastasis from ampulla of Vater adenocarcinoma: case report.
abstract: We report a rare case of skull metastasis from ampulla of Vater adenocarcinoma in a patient with controlled primary neoplasm. This 65-year-old Korean man presented with headache and painful parietal scalp swelling, but he did not show any neurological deficits. Computed tomography revealed an osteolytic mass that invaded and expanded through the skull tables in full-thickness. On magnetic resonance images following Gadolinium injection, the mass appeared slightly hypointense signal on all sequences and intense heterogeneous enhancement. He underwent surgical excision with artificial grafting of calvaria and dura. Postoperative radiation therapy was ensued for metastatic adenocarcinoma, and he was well for the follow-up period of 3 months. To the best of our knowledge, this is the first such case that involved the skull.
authors.affiliation: Department of Neurosurgery, Hanyang University Medical Center, Sungdong-gu, Seoul, Korea.
authors.forename: Ji-Young
authors.initials: JY
authors.lastname: Jeon
authors.forename: Hyeong-Joong
authors.initials: HJ
authors.lastname: Yi
authors.forename: Seung-Ro
authors.initials: SR
authors.lastname: Lee
authors.forename: Seung-Sam
authors.initials: SS
authors.lastname: Paik
authors.forename: Kwang-Soo
authors.initials: KS
authors.lastname: Lee
mesh_terms: D000230:Adenocarcinoma / Q000503:physiopathology / Q000556:secondary* / Q000628:therapy; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology*; D003138:Common Bile Duct Neoplasms / Q000473:pathology* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012888:Skull Neoplasms / Q000503:physiopathology / Q000556:secondary* / Q000628:therapy; D014057:Tomography, X-Ray Computed