VILLOUS ADENOMAS OF THE DUODENUM AND AN UNUSUAL VARIANT | Zendy

Evans Peter R. | Zendy; Oliver David J. | Zendy; Waters Susan A. | Zendy; Waters Thomas E. | Zendy; LawrenceBrown Michael M. D. | Zendy; Easton Linden A. | Zendy

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VILLOUS ADENOMAS OF THE DUODENUM AND AN UNUSUAL VARIANT

Author(s) -

Evans Peter R.,

Oliver David J.,

Waters Susan A.,

Waters Thomas E.,

LawrenceBrown Michael M. D.,

Easton Linden A.

Publication year - 1990

Publication title -

australian and new zealand journal of surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.111

H-Index - 51

eISSN - 1445-2197

pISSN - 0004-8682

DOI - 10.1111/j.1445-2197.1990.tb07494.x

Subject(s) - major duodenal papilla , duodenum , medicine , villous adenoma , pathological , adenocarcinoma , adenoma , biopsy , resection , histology , general surgery , radiology , pathology , gastroenterology , surgery , cancer

We report two cases of villous adenoma of the duodenum, one arising from the main papilla and the other from the accessory papilla. Both were managed by local resection. In one case endoscopic biopsies and intraoperative frozen sections were negative for carcinoma but histology of the locally resected specimen revealed a focus of invasive adenocarcinoma. Villous adenomas of the duodenum have a high risk of malignant change and foci of carcinoma can be missed on endoscopic biopsy. The literature is reviewed and the clinical, diagnostic, pathological and therapeutic aspects of villous adenomas of the duodenum are discussed.

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