Ampulla of Vater Neuroendocrine Carcinoma

**Semantic type:** Neoplastic Process

**Definition:** An aggressive high-grade carcinoma with neuroendocrine differentiation that arises from the ampulla of Vater. It is composed of malignant small or large cells. The mitotic count is more than 20 per 2 mm2 and/or the Ki-67 index is more than 20%.

**Synonyms:** - Ampulla of Vater High Grade Neuroendocrine Carcinoma - Ampulla of Vater NEC - Ampulla of Vater Poorly Differentiated Endocrine Carcinoma - Ampulla of Vater Small and Large Cell Endocrine Carcinoma - Neuroendocrine Carcinoma of the Ampullary Region