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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.