Synchronous adenocarcinomas of the papilla major and minor.
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.
Parthasarathy
Sriram
S
Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.
Pottakkat
Biju
B
Yootla
Mutheeswaraiah
M
Reddy
Sudhkar N
SN
Reddy
Kumaraswamy M
KM
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