[Limited surgical radicality in occult cancer of Vater's papilla].
Nine histologically proven benign adenomas of the papilla of Vater were consecutively treated by transduodenal full thickness excision and simultaneous staging of regional lymph nodes without severe postoperative complications. 4 patients had a small well differentiated (pT1 GIpN0) carcinoma, although there was neither macroscopically nor by frozen sections any suspicion of a malignant tumour. A more radical pancreatoduodenectomy was not carried out and the 4 patients are without tumour recurrence or metastases 1-8 years postoperatively.
Chirurgische Universitätsklinik, Abteilung für Allgemeine Chirurgie, Homburg/Saar, BRD.
B
B
Koch
U
U
Hildebrandt
G
G
Schüder
G
G
Seitz
G
G
Feifel
D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D002471:Cell Transformation, Neoplastic / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011127:Polyps / Q000473:pathology / Q000601:surgery*; D016717:Sphincterotomy, Endoscopic / Q000295:instrumentation
Eingeschränkte chirurgische Radikalität beim okkulten Karzinom der Papilla Vateri.