A 67-year-old woman, who had symptoms of epigastric pain and abdominal distension, was found, on endoscopy, to have a large sessile villous adenoma of the periampullary duodenum. Despite the lack of evidence of malignancy, a pancreaticoduodenectomy procedure was performed, mainly because of the tumor size and site, involving the ampulla of Vater. The presence of the carcinoma was diagnosed only in the resected specimen by definitive histology. Because there is no general consensus on the optimal surgical procedure for the treatment of villous tumors of the duodenum, especially for the early stages, the indications for the operative procedure are discussed, based on a review of the literature.

Large periampullary villous tumor of the duodenum / Cavallini, Marco; Cavaniglia, Daniele; Felicioni, Francesco; Vitale, Valeria; Pilozzi, Emanuela; Ziparo, Vincenzo. - In: JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY. - ISSN 0944-1166. - STAMPA. - 14:5(2007), pp. 526-528. [10.1007/s00534-006-1206-1]

Large periampullary villous tumor of the duodenum

CAVALLINI, Marco;CAVANIGLIA, DANIELE;FELICIONI, FRANCESCO;VITALE, VALERIA;PILOZZI, Emanuela;ZIPARO, Vincenzo
2007

Abstract

A 67-year-old woman, who had symptoms of epigastric pain and abdominal distension, was found, on endoscopy, to have a large sessile villous adenoma of the periampullary duodenum. Despite the lack of evidence of malignancy, a pancreaticoduodenectomy procedure was performed, mainly because of the tumor size and site, involving the ampulla of Vater. The presence of the carcinoma was diagnosed only in the resected specimen by definitive histology. Because there is no general consensus on the optimal surgical procedure for the treatment of villous tumors of the duodenum, especially for the early stages, the indications for the operative procedure are discussed, based on a review of the literature.
2007
Duodenal tumor; Periampullary neoplasms; Villous adenoma; Adenoma, Villous; Aged; Duodenal Neoplasms; Female; Humans; Pancreaticoduodenectomy; Ampulla of Vater; Surgery
01 Pubblicazione su rivista::01a Articolo in rivista
Large periampullary villous tumor of the duodenum / Cavallini, Marco; Cavaniglia, Daniele; Felicioni, Francesco; Vitale, Valeria; Pilozzi, Emanuela; Ziparo, Vincenzo. - In: JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY. - ISSN 0944-1166. - STAMPA. - 14:5(2007), pp. 526-528. [10.1007/s00534-006-1206-1]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/872376
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