Metastatic Periampullary Tumor from XXXX Presenting as @entity360 .

@entity1 @entity5 @entity3 @entity157 @entity360 @entity9317
@entity5 constitute a number of diverse neoplastic lesions located within 2   cm of the major @entity9317 ; among these, metastatic lesions account for only a small proportion of the periampullary @entity5 . To our knowledge, a metastatic @entity5 from @entity157 has never been reported. A 62-year-old male reported to our institute for fatigue and low hemoglobin. His medical history was remarkable for multifocal @entity157 ( @entity157 ) treated with selective transcatheter arterial chemoembolization (TACE). An esophagogastroduodenoscopy (EGD) was performed which revealed a periampullary mass. Histopathology was consistent with metastatic moderately differentiated @entity157 . Two endoloops were deployed around the base of the mass one month apart. The mass eventually sloughed off and @entity1 's hemoglobin level stabilized. We postulated that periampullary @entity3 in this @entity1 was the result of @entity5 fragments migration through the biliary tracts and that TACE which increases @entity5 fragments burden might have played a contributory role. @entity3 of @entity157 to the gastrointestinal (GI) tract should be considered as a cause of @entity360 .
