PMC3114376_01
Hydropic gallbladder and choledoc dilation were seen on tomographic examination, Yet any mass appearance or lymph node was not encountered.
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fig1
A mass appearance was not encountered on tomographic examination obtained with prediagnosis of pancreatic cancer due to hydropic gallbladder and choledoc dilation on abdominal ultrasonography (Figure 1).
Papilla that was tumor-like macroscopically was seen in endoscopic retrograde cholangio pancreatography.
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fig2
Papilla that was tumor-like macroscopically was seen in the second part of the duodenum in diagnostic endoscopy (Figure 2).
Specimens were stained synaptophysin (+), chromogranin-A (+), Ki-67 2% (+) in immunohistochemical staining.
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fig3
The patient whose specimens were stained synaptophysin (+), chromogranin-A (+), and Ki-67 2% (+) in immunohistochemical staining was evaluated as a neuroendocrine tumor (Figure 3).