Villous Adenocarcinoma of the Duodenum Invading the Ampulla of Vater: Case Report and Review of Literature
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We report a case of villous adenocarcinoma of duodenum arising from the ampulla of Vater with a review of the literature. Although preoperative endoscopic biopsies were performed, no malignancy was identified. Because of the pathological uncertainty we decided to perform a pylorus-preserving pancreatoduodenectomy. Microscopic examination demonstrated glandular dysplasia with aspects of villous adenoma and well differentiated adenocarcinoma. We conclude that both in malignant cases and in cases with uncertain diagnosis a pylorus-preserving pancreatoduodenectomy is the best surgical treatment because it results in better 5 year survival.
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2016 ◽
Vol 14
(4)
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pp. e435-e439
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2003 ◽
Vol 127
(11)
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pp. 1498-1500
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