title: Synchronous adenocarcinomas of the papilla major and minor.
abstract: BACKGROUND
  Synchronous malignancies affecting both the major and minor papilla are rare and are usually of endocrine origin.
  
  
  METHODS
  A 60-year-old female presented with a two-week history of progressive jaundice and pruritus. Evaluation revealed features of a periampullary malignancy. A Whipple pancreaticoduodenectomy was done. There was a growth in the ampulla of Vater and another in the region of the minor duodenal papilla. On histopathology, both lesions were adenocarcinomas.
  
  
  CONCLUSIONS
  Although rare, synchronous adenocarcinomas can occur in the major and minor papilla.
authors.affiliation: Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.
authors.forename: Sriram
authors.initials: S
authors.lastname: Parthasarathy
authors.forename: Biju
authors.initials: B
authors.lastname: Pottakkat
authors.forename: Mutheeswaraiah
authors.initials: M
authors.lastname: Yootla
authors.forename: Sudhkar N
authors.initials: SN
authors.lastname: Reddy
authors.forename: Kumaraswamy M
authors.initials: KM
authors.lastname: Reddy
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D014670:Ampulla of Vater / Q000473:pathology; D021441:Carcinoma, Pancreatic Ductal / Q000150:complications* / Q000175:diagnosis*; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007565:Jaundice / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D010183:Pancreatic Ducts / Q000473:pathology