title: Pancreatic ampullary carcinoma with neck metastases: a case report.
abstract: BACKGROUND
  An 18-year-old Turkish woman was referred with a 6-week history of rapidly enlarging cervical mass at the left side.
  
  
  METHODS
  She was diagnosed of ampullary carcinoma for which pancreatoduodenectomy was performed 14 months ago. In our patient with a history of malignancy, a rapidly enlarging neck mass was considered a metastasis to the neck. Tumor resection was performed. Histopathological examination revealed the metastasis of the precedent ampullary adenocarcinoma.
  
  
  CONCLUSIONS
  Surgery does not improve survival for advanced metastatic ampullary cancer however, it can be mandatory in specific conditions as our patient.
authors: Department of General Surgery, Faculty of Medicine, Istanbul University, Istanbul, Turkey. maksoy@hotmail.com
authors: Murat
authors: M
authors: Aksoy
authors: Aziz
authors: A
authors: Sumer
authors: Serkan
authors: S
authors: Sari
authors: Ozgur
authors: O
authors: Mete
authors: Artur
authors: A
authors: Salmaslioglu
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authors: Erbil