title: [Villous adenoma of Vater's papilla; a therapeutic dilemma].
abstract: After a cholecystectomy in 1980, local excision of a villous adenoma of the ampulla of Vater was performed in 1983 in a 69-year-old female; this had to be repeated in 1990 because of recurrence. In case of a tumour of this kind, pancreaticoduodenectomy should be considered because of the relatively high risk of recurrence or malignant degeneration. After a radical local excision regular duodenal endoscopy and if possible endoscopic ultrasonography should be performed.
authors.affiliation: Afd. Interne Geneeskunde, Diakonessenhuis, Utrecht.
authors.forename: M G
authors.initials: MG
authors.lastname: van Kraaij
authors.forename: P C
authors.initials: PC
authors.lastname: Ligtenberg
authors.forename: P
authors.initials: P
authors.lastname: Leguit
authors.forename: J W
authors.initials: JW
authors.lastname: Nortier
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater; D002471:Cell Transformation, Neoplastic; D003138:Common Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery
vernacular_title: Het villeuze adenoom van de papil van Vater; een therapeutisch dilemma.