Abstract
Multiple neoplasms in a single individual is not a common nding. Genetic, environmental, lifestyle and hormonal factors have been implicated in the development of multiple neoplasms. Periampullary carcinoma has been associated with colonic cancer, endometrial cancer, melanoma as a part of syndromic association. Distal cholangiocarcinoma has not been seen associated with any other neoplasms till now in the literature. Here we would like to report a rare case of distal cholangiocarcinoma along with adrenal adenoma and duodenal well differentiated neuroendocrine tumor.
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