Resumen. JORDAN ALONSO, Ariel et al. Vater’s ampulla adenocarcinoma. A propos of a case. Rev. Med. Electrón. [online]. , vol, n ISSN . Mujer de 56 años con adenocarcinoma de la ampolla de Vater y pancreatitis study of the transpapillary biopsy confirmed the ampullary adenocarcinoma. All carcinomas of the Ampulla of Vater or the duodenal papilla, including poorly differentiated neuroendocrine carcinomas, are covered by this.

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Surgery represents the main therapeutic approach for ampullary cancer, whilst unresectable tumors can be treated with either radiotherapy or chemotherapy. World J Surg 24 1: Sign up for our Email Newsletters.

She underwent a pancreaticoduodenectomy, which is the first choice of treatment 2,3,7,8. Clinical and laboratory features were not conclusive about the cause of this acute pancreatitis. Jpn J Cancer Res. Adjuvant radiotherapy and 5-fluorouracil after curative resection of cancer of the pancreas and periampullary region: From the periampullary malignancies, 79 Surgical management of neoplasms of the ampulla of Vater: This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment.

Eckel F, Schmid RM.

Ampulla of Vater

This page was last modified on 8 Juneat Adjuvant chemoradiation versus surgery alone for adenocarcinoma of the ampulla of Vater. Tumor cells are CK20 negative. Board review answer 1. The role of chemotherapy in advanced biliary cancer was assessed in a study in which palliative chemotherapy achieved survival advantage and improved quality of life when compared with best supportive care[ 55 ].


A phase III multicenter prospective randomized controlled trial in patients with resected pancreaticobiliary carcinoma.

Am J Surg Pathol. Only a few retrospective studies have focused on the ds treatment in ampullary cancer, whilst ampullary tumors more often constitute a subgroup of pancreato-biliary tumors included in adjuvant clinical trials.

Tumors of ampulla of Vater: A case series and review of chemotherapy options

Fluorouracil vs gemcitabine chemotherapy before and after fluorouracil-based chemoradiation following resection of pancreatic adenocarcinoma: Patients with ampullary cancer underwent surgery more frequently than other biliary cancers while chemotherapy and radiotherapy were used equally. Adjuvant chemo-radiotherapy in ampullary cancers.

Table 3 Studies on adjuvant chemo-radiotherapy. Interestingly, the levels of CA were found very high, phenomenon described both in ampullary and periampullary tumors, in addition to pancreatic adenocarcinoma 2,9, Klinkenbijl et al[ 36 ] The ampulla is specifically located at the major duodenal papilla.

Tumor cells are CK7 positive. Please review our privacy policy. Narang et al[ 45 ] Accessed December 31st, Note occasional eosinophils cyan arrows. Predictors for patterns of failure after pancreaticoduodenectomy in ampullary cancer.

Factors influencing recurrence after curative resection for ampulla of Vater carcinoma. Navigation Main page Recent changes Random page Help. This article has been cited by other articles in PMC.


Santos 1,2R. The ampulla of Vater is an important adennocarcinoma halfway along the second part of the duodenum that marks the anatomical transition from foregut to midgutand hence the point where the celiac trunk stops supplying the gut and the superior mesenteric artery takes over. Images hosted on other servers: J Hepatobiliary Pancreat Surg. In some cases, acute pancreatitis is idiopathic, and the exact mechanisms of less common predisposing conditions are not completely understood.

Mujer de 56 años con adenocarcinoma de la ampolla de Vater y pancreatitis aguda

Median survival was 22 mo range: Click here for information on linking to our website or using our content or images. According to the Kimura classification[ 6 ], ampullary cancers were divided in intestinal and pancreatobiliary, depending on their histological differentiation. Tumor bulges into duodenal lumen, may be intra, periampullary or mixed Often small Common bile duct often dilated.

By using this site, you agree to the Terms of Use and Privacy Policy. Introduction Tumors of the ampulla of Vater are very uncommon gastrointestinal neoplasms, which account for 0.