[The significance of papillary biopsy in obstruction of Vater's papilla].
Biopsies of the papilla of Vater were taken in 53 patients after a papillotomy had been carried out during a previous ERC. The macroscopic finding of a papillary stenosis of unknown dignity required an exact histological diagnosis. In 35 patients (66%) a duodenitis/papillitis was found on the histological specimens, in 6 patients (11%) a villous adenoma, and in 7 patients an adenocarcinoma (13%). A metastasis of a melanoma, a schwannoma, and a coagulum were diagnosed once. The papillotomy preceding the biopsy was the only necessary therapy in 46 patients, and endoprosthesis was inserted in 5 patients. In 2 patients the tumor was excised by snare, in 4 patients a surgical resection was carried out. The incidence of malignancy in papillary stenosis emphasizes the significance of a biopsy for histological confirmation of the diagnosis if endoscopically a papillary stenosis is detected.
Schulz
J E
JE
Medizinische Klinik C, Stadt Ludwigshafen am Rhein.
Wegener
K
K
Riemann
J F
JF
D000230:Adenocarcinoma / Q000473:pathology; D000236:Adenoma / Q000473:pathology; D014670:Ampulla of Vater / Q000473:pathology*; D001706:Biopsy; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000473:pathology*; D003137:Common Bile Duct Diseases / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D012189:Retrospective Studies
Die Bedeutung der Papillenbiopsie bei Abflussstörungen aus der Papilla Vateri.