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Large periampullary villous tumor of the duodenum
Author(s) -
Cavallini Marco,
Cavaniglia Daniele,
Felicioni Francesco,
Vitale Valeria,
Pilozzi Emanuela,
Ziparo Vincenzo
Publication year - 2007
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-006-1206-1
Subject(s) - duodenum , medicine , villous adenoma , ampulla of vater , pancreaticoduodenectomy , malignancy , general surgery , ampulla , adenoma , radiology , gastroenterology , surgery , pancreas , carcinoma
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.