The use of uptodate content is governed by the uptodate terms of. Extensive preoperative assessment of cardiac, vaher, renal, and cerebral functions should be performed in older patients or those with comorbid conditions. 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. Rouxeny reconstruction following completion of a standard pancreaticoduodenectomy. 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. Phase ii study of 5fluorouracil, doxorubicin, and mitomycin c for metastatic small bowel adenocarcinoma. All carcinomas of the ampulla of vater or the duodenal papilla, including poorly differentiated neuroendocrine carcinomas, are covered by this. The ampulla is specifically located at the major duodenal papilla. Immunohistochemical staining in the diagnosis of pancreatobiliary and ampulla of vater adenocarcinoma. Signet ring cell carcinoma of the ampulla of vater. Adenocarcinoma of the ampulla of vater is the second most common periampullary malignancy.
Table 1 demographics, histological features, stage, treatment received and outcome of 20 cases of. 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. Eduardo brandan recalde, monica bruno, paola senatore, adriana piccinini. Signet ring cell carcinoma of the ampulla of vater is a rare entity and less than 20 cases have been described in the literature. We report the cases of two patients with this disease and provide. 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.
611 1294 807 1180 94 1270 783 412 509 264 796 77 561 924 322 1320 2 117 838 927 960 55 1490 871 946 933 1443 631 976 977 141 700 316 236 724 156