Villous adenoma of the ampulla of vater gastroenterology. Within this context, the metastases of breast tumor to the major duodenal papilla are a very rare event, with only three cases reported in the world literature, all due to lobular breast carcinoma. Apr 06, 2019 the ampulla of vater is a flasklike cavity into which both the common bile and pancreatic ducts open. This study found that the only independent predictive factors for progression from adenoma to adenocarcinoma were adenoma size and villous histology. Conversely, no survival advantage was reported between patients with pancreatic, bile duct. Rarely, gastrointestinal bleeding or pancreatic duct obstruction is a presenting symptom. According to the kimura classification 6, ampullary cancers were divided in intestinal and pancreatobiliary, depending on their histological differentiation. Neoplasms that arise in this site can originate from the.
Transduodenal ampullectomy as treatment of ampulla of vater. The tumors are frequently small and can be overlooked. The ampulla of vater, also known as the hepatopancreatic ampulla or the hepatopancreatic duct, is formed by the union of the pancreatic duct and the common bile duct. Tumores neuroendocrinos, adenocarcinomas, tumores del estroma gastrointestinal gist y. Villous adenoma of the ampulla of vater an unusual cause of biliary colic and obstructive jaundice. The impact factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. Longterm survival and metastatic pattern of pancreatic and periampullary cancer after adjuvant chemoradiation or observation.
Metastasis of breast cancer to major duodenal papilla palabras clave. In particular, we analyzed demographic characteristics, tumor histology, uicc stage, treatments employed and survival. Due to the invasive nature of the lesion, palliative treatment was offered with replacement of the plastic stent for a metallic one the patient had significant improvement of the cholestatic syndrome and abdominal pain. The abdominal cat did not show any metastasis images. The ampulla is specifically located at the major duodenal papilla. In more than 70% of the investigated carcinomas of the ampulla, tissue samples were found with severe dysplasia.
Charles c thomas felloso login to enter a peer comment or grade. Transduodenal ampullectomy as treatment of ampulla of vater adenoma article in cirugia espanola 873. Oct 09, 2019 carcinomas of the ampulla of vater are rare tumors, accounting for % of gastrointestinal cancers. Local resection ampullectomy may be considered for patients with an wmpolla adenoma with absence of dysplasia on preoperative biopsies who are inappropriate candidates for pancreaticoduodenectomy. Transduodenal ampullectomy as treatment of ampulla of. Article pdf available in ged gastrenterologia endoscopia digestiva 33suppl 1 october 2014 with 409 reads. Carcinomas of the ampulla of vater are rare tumors, accounting for % of gastrointestinal cancers.
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