CASE 260: ODDI TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 40 yo  pain at  RUQ  with  dark urine.

Ultrasound  first   detected  big gallbladder  with  very think wall, no stone, CBD in dilatation just to   end  of CBD, no tumor of  pancreas (2 ultrasound images).

MSCT CE detected  dilated biliary system intra and extrahepatic ( 3 CT images).

Gastro-duodenal  endoscopy  found out a round tumor at Oddi  area (see photo),  biopsy was done.

Blood tests, CEA, CA-19-9 were normal.

What is  your suggestion for   diagnosis and your next step ? 

ERCP not successful.

Biopsy of the tumor but the microscopic result was negative.

Ooen operation for exploration, surgeon detected a hard massat the head of pancreas.

Whipple operation was performed  (specimen of tumor of Oddi).

Microscopic report was  adenocarcinoma ( patho images)

REFERENCE  from Meditoons