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Skull metastasis from ampulla of Vater
adenocarcinoma: case report
Ji-Young Jeon, Hyeong-Joong Yi, Seung-Ro Lee, Seung-Sam Paik and Kwang-Soo
Lee
Department of Neurosurgery
(J.-Y.J., H.-J.Y.), Department of Neuroradiology (S.-R.L.), Department of
Pathology (S.-S.P.), Department of Surgery (K.-S.L.), Hanyang University Medical
Center, Sungdong-gu, Seoul, Korea
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.
PMID: 15072455 [PubMed - indexed for MEDLINE]
Source: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15072455
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