Diagnosis of Ampullary Cancer | Zendy

Kei Ito | Zendy; Naotaka Fujita | Zendy; Yutaka Noda | Zendy; Go Kobayashi | Zendy; Jun Horaguchi | Zendy

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Diagnosis of Ampullary Cancer

Author(s) -

Kei Ito,

Naotaka Fujita,

Yutaka Noda,

Go Kobayashi,

Jun Horaguchi

Publication year - 2010

Publication title -

digestive surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.762

H-Index - 69

eISSN - 1421-9983

pISSN - 0253-4886

DOI - 10.1159/000286607

Subject(s) - medicine , pancreaticoduodenectomy , pancreatic cancer , radiology , bile duct , lymph node , general surgery , infiltration (hvac) , bile duct cancer , lymphatic system , cancer , surgery , resection , pathology , physics , thermodynamics

Endoscopic papillectomy has been reported to be the treatment of choice in patients with ampullary adenoma. For ampullary cancer, pancreaticoduodenectomy is the standard treatment. Since neither lymphatic permeation, vascular invasion, nor lymph node metastasis is observed in patients with ampullary cancer limited to the mucosa, endoscopic resection of such tumors can be justified if no ductal infiltration into the bile or pancreatic duct is documented. For its application, accurate preoperative staging is mandatory. Transpapillary intraductal ultrasonography can provide useful information for making therapeutic decisions, especially in the selection of patients for endoscopic papillectomy.

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