title: Total papillectomy for borderline malignant tumor of papilla of Vater.
abstract: The therapies for treating tumors of the papilla of Vater remain controversial because accurate preoperative diagnosis is difficult. Treatments include endoscopic resection, pancreaticoduodenectomy and total papillectomy. We report the case of a 69-year-old man who underwent total papillectomy for a borderline malignant tumor of the papilla of Vater. In our institution, the decision to perform a total papillectomy for borderline malignant adenoma is based on whether it is intestinal type or pancreaticobiliary type. Carcinoma of the papilla of Vater is classified into two types: an intestinal type and a pancreaticobiliary type and the prognosis of the intestinal type is much better than that of the pancreaticobiliary type. We suggest that total papillectomy can be performed for an intestinal, borderline malignant tumor.
authors.affiliation: First Department of Surgery, Yamagata University School of Medicine, Yamagata, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Moriya
authors.forename: Wataru
authors.initials: W
authors.lastname: Kimura
authors.forename: Ichiro
authors.initials: I
authors.lastname: Hirai
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Sakurai
authors.forename: Hideki
authors.initials: H
authors.lastname: Isobe
authors.forename: Koichiro
authors.initials: K
authors.lastname: Ozawa
authors.forename: Akira
authors.initials: A
authors.lastname: Fuse
mesh_terms: D000236:Adenoma / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male