Figure 1 - available via license: Creative Commons Attribution 4.0 International
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Image diagnostics before surgery. (A) The duodenoscopy revealed an ampullary tumor. (B) The abdominal computed tomography scan images showed dilation of both the internal and external hepatobiliary tract; Wirsung's diameter was 5 mm. (C) The hypodense lesion in the spleen was 3 cm.
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Key Clinical Message
Here, we report a first case of ampullary cancer with solitary metastasis of the spleen, which was successfully treated with pancreatoduodenectomy and splenectomy and was discharged 7 days after the operation with outpatient chemotherapy. In such cases, physicians should consider splenectomy as an effective treatment option.
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