PT  - JOURNAL ARTICLE
AU  - Anju Bansal
AU  - Varsha Dalal
AU  - Manveen Kaur
AU  - Fouzia Siraj
TI  - Periampullary Carcinoma: Unusual Sites of Metastasis
DP  - 2017 Dec 21
TA  - Ochsner Journal
PG  - 426--429
VI  - 17
IP  - 4
4099  - http://www.ochsnerjournal.org/content/17/4/426.short
4100  - http://www.ochsnerjournal.org/content/17/4/426.full
SO  - Ochsner J2017 Dec 21; 17
AB  - Background: Periampullary neoplasms include carcinomas of the duodenum, ampulla of Vater, distal common bile duct, and pancreas. The aggressive course of these neoplasms is attributable to the delay in diagnosis, as patients have no symptoms until advanced stages of the disease. More than half of patients have distant metastasis at the time of diagnosis. The most frequent sites of metastasis are the liver, lymph nodes, peritoneum, lung, bone, kidney, and, rarely the skin.Case Report: We report the case of a 45-year-old female patient with adenocarcinoma of the ampulla of Vater metastasizing to the right parietal skull with overlying cutaneous involvement 1 year after a Whipple procedure.Conclusion: Cutaneous and skull metastasis of periampullary neoplasms is unusual, but early recognition of such metastatic disease is important because it indicates a poor prognosis for the patient.