title: [Diagnosis and treatment of cancer of the major duodenal papilla].
abstract: The diagnosis and treatment of cancer of the major duodenal papilla in 83 patients are discussed. Radical operations were carried out in 71 (86%) patients; 60 were economical pancreatoduodenal resection (EPDR) and 11 were extended pancreatoduodenal ones (ExPDR). Postoperative mortality was 28%. The late-term results of radical operation were studied in 49 patients. Recurrent cancer developed in half (22) of the patients who underwent EPDR. Three patients who were treated by ExPDR also died from recurrent cancer and metastases. The authors believe EPDR to be expedient only in Stages I-II cancer.
authors: Iu A
authors: IuA
authors: Zykov
authors: S A
authors: SA
authors: Nikitchenko
mesh_terms: D000328:Adult; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology* / Q000401:mortality; D009367:Neoplasm Staging; D013997:Time Factors
vernacular_title: Diagnostika i lechenie raka bo'lshogo duodena'lnogo sosochka.