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Periampullary carcinoma
Author(s) -
SafaieShirazi Siroos,
Zike Wilbur L.,
Condon Robert E.
Publication year - 1973
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930050110
Subject(s) - medicine , carcinoma , pancreaticoduodenectomy , surgery , gallbladder , general surgery , resection
Fifty‐five patients with periampullary caicinoma have been treated during a period of 32 years. This tumor represents only 0.01% of our solid tumor cases. Contrary to widely accepted opinion, periampullary carcinoma is not painless in many patients, and a palpable gallbladder is present in only 20% of patients. Twenty‐four patients had a palliative operation with a 13% immediate mortality; the mean survival of this group was 13 months. Out of 26 patients who had a radical curative operation, 18 survived the procedure; the mean survival for this group was 31 months. We believe that nearly every patient harboring a periampullary carcinoma should be considered a candidate for pancreaticoduodenectomy unless the disease is so far advanced that survival is unlikely.