A CASE OF CANCER OF THFE AMPULLA OF VATFER ASSOCIATED WITH APPENDICEAFL CARCINOMA DETECTFED DURING THE DIAGNOSTIC PROCESS OF MFETASTATIC COFLON CANCFEFR

Abstract

We reported a case of cancer of the arnpulla of Vater associated with appendiceal car-cinoma detected during the diagnostic process of metastatic colon cancer. A 69-year-old malewas examined with a colonoscopy because of the positive occu.1t blood of the stool. The exarnination showed multiple polyps in the colon and the histological findings of the biopsiedspecimen from the transverse colon revealed a metastatic adenocarcinoma. Lately, two othertumors were observed in his appendix and the ampulla Qf Vater. The immunohistologicalexamination suggested that the lesion in the transverse colon was metastasis from the alnpullaof Vater.