title: A case of adenoma of the ampulla of Vater.
abstract: A case of adenoma of the ampulla of Vater is presented in a 48-year-old man who was admitted with epigastric pain. Gastroendoscopy revealed a sessile tumor about 3 cm in diameter at the ampulla of Vater, and the pathological diagnosis of a biopsy specimen was adenoma with moderate atypia. Because of the possibility of a malignant component, pylorus-preserving pancreatoduodenectomy was performed to avoid local recurrence. The final pathological diagnosis was adenoma with severe atypia.
authors.affiliation: Department of Surgery, National Hyogo Chuo Hospital, Ohara 1314, Sanda City 669-1515, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Satake
authors.forename: N
authors.initials: N
authors.lastname: Kawaraya
authors.forename: M
authors.initials: M
authors.lastname: Okada
authors.forename: K
authors.initials: K
authors.lastname: Kujime
authors.forename: H
authors.initials: H
authors.lastname: Yamamoto
authors.forename: S
authors.initials: S
authors.lastname: Yazumi
authors.forename: Y
authors.initials: Y
authors.lastname: Nishida
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000601:surgery*; D014670:Ampulla of Vater / Q000473:pathology*; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000379:methods; D016896:Treatment Outcome