Primary squamous cell carcinoma of the ampulla of Vater - a rare entity

10.5580/1b23 ◽  
2010 ◽  
Vol 22 (2) ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Tapan Kumar Sahoo ◽  
Saroj Kumar Das ◽  
Chandraprava Mishra ◽  
Ipsita Dhal ◽  
Rohani Nayak ◽  
...  

Primary squamous cell carcinoma of the renal parenchyma is an extremely rare entity. The diagnosis of squamous cell carcinoma of the renal pelvis is usually unsuspected due to the rarity and inconclusive clinical and radiological features. Most of the patients are diagnosed at an advanced stage and are with poor outcome. Radical nephrectomy is the mainstay of the treatment. We reported a case of squamous cell carcinoma of the kidney in a 50-year-old female who presented with the right sided abdomen pain. The patient was treated with radical nephrectomy.


2013 ◽  
Vol 2013 (may24 1) ◽  
pp. bcr2013009706-bcr2013009706 ◽  
Author(s):  
M. Little ◽  
P. C. Munipalle ◽  
Y. K. S. Viswanath

Author(s):  
Miguel Fraile López ◽  
Guillermo Eduardo Mendoza Pacas ◽  
Fernando Fernández Cadenas

2015 ◽  
Vol 4 (2) ◽  
pp. 271
Author(s):  
Samreen Zaheer ◽  
ShahidA Siddiqui ◽  
RanaK Sherwani ◽  
Mohammed Akram

1989 ◽  
Vol 98 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Gwen S. Korovin ◽  
Hyun T. Cho ◽  
Daniel B. Kuriloff ◽  
Steven M. Sobol

Four cases of primary squamous cell carcinoma of the thyroid gland are reported. Thorough evaluation confirmed these lesions to be of primary thyroid origin rather than from metastasis or direct invasion from contiguous structures. These cases illustrate the aggressive nature of the disease and the propensity for local and distant metastases. The clinicopathologic data presented here underscore the challenge in diagnosis and treatment of this rare entity.


2021 ◽  
Vol 116 (1) ◽  
pp. S1230-S1230
Author(s):  
Gowthami Ramar ◽  
M'hamed Turki ◽  
Saif Bella ◽  
Amine Hila ◽  
Ali Timsar

2021 ◽  
Author(s):  
Muhammad Adeel Samad ◽  
Jarod Shelton ◽  
Martin Asplund ◽  
Diane C. Shih Della Penna ◽  
Dennis E. Johnson

Abstract Background: Primary squamous cell carcinoma is a very rare entity and there are only 11 reported cases to date. We describe a case of primary SCC of the ampulla of Vater with microsatellite instability (MSI) and response to pembrolizumab immunotherapy. To the best of our knowledge, this is the first reported case of SCC of ampulla of Vater with MSI. We also performed a review of literature to determine the treatment modalities for this pathology.Case presentation: A 40-year-old male presented with direct bilirubinemia (total bilirubin: 10.7, direct bilirubin: 7.1) and was noted to have a pancreatic head mass which measured 6.6 x 5.5 x 5.5 cm. The patient underwent a pylorus preserving pancreatoduodenectomy with lymph node dissection. Pathology showed 5.5 x 3.5 x 3.5 cm squamous cell carcinoma of ampulla of Vater based on positive p40 and CK5 on immunohistochemistry. It was noted to be invading pancreatic head and duodenal mucosal. Surgical margins were negative. Adjuvant chemotherapy with mFOLFIRINOX (irinotecan, 5-fluorouracil, oxaliplatin) was not performed because of active Hepatitis C infection. Chemoradiotherapy with capecitabine and radiation therapy was initiated however patient had progression of disease despite that. The patient was transitioned to Pembrolizumab in context of MSI high tumour with palliative intent. He had an excellent response to immunotherapy. The therapy was stopped after 18 cycles on patient request because of persistent symptoms of dizziness and lethargy. At the eight-month follow-up after the last cycle of immunotherapy (2.5 years after surgical resection), the patient had no evidence of relapse on CT scan. Conclusions: Surgical resection is mainstay of treatment for primary squamous cell carcinoma of ampulla of Vater. Genetic testing for mismatch repair (MMR) genes should be performed for all patients and immunotherapy with Pembrolizumab should be considered in tumours with high microsatellite instability. Radiotherapy is not effective for this pathology.


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