title: Three synchronous, sporadic and separate periampullary and pancreatic tumors: more than a coincidence?
abstract: Three sporadic, synchronous, and separate lesions in the ampulla of Vater and the head of the pancreas presented in an 81-year-old male. One was symptomatic and two were incidental. One was detected preoperatively (the ampullary lesion) and two by examination of the resected specimen (the neuroendocrine and pancreatic carcinomas). The case is summarized and the literature and the issue of commonality are reviewed.
authors.forename: Amit
authors.initials: A
authors.lastname: Sastry
authors.forename: Michael
authors.initials: M
authors.lastname: Wayne
authors.forename: Justin
authors.initials: J
authors.lastname: Steele
authors.forename: Mazen
authors.initials: M
authors.lastname: Iskandar
authors.forename: Songyang
authors.initials: S
authors.lastname: Yuan
authors.affiliation: Department of Surgery, Mount Sinai Beth Israel, 37 Union Square West, 4th floor, New York, NY 10003, USA. avram.cooperman@gmail.com.
authors.forename: Avram M
authors.initials: AM
authors.lastname: Cooperman
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000473:pathology*; D018196:Carcinoma, Adenosquamous / Q000473:pathology*; D018278:Carcinoma, Neuroendocrine / Q000473:pathology*; D003138:Common Bile Duct Neoplasms / Q000473:pathology*; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000473:pathology*; D011379:Prognosis