Presentation
Of all 162 patients with ampullary lesions, eight cases (4.9%) were diagnosed as SRC, with a mean age at presentation of 60 years. The presenting symptoms information was available for all eight cases. [spandidos-publications.com]
Homepage Rare diseases Search Search for a rare disease Disease definition Carcinoma of the ampulla of Vater is a rare malignant tumor originating from the ampulla of Vater that can present with symptoms of general fatigue, loss of appetite, weight loss [orpha.net]
In this report, we present a case of ASC of the AmV and review the experience of this rare disease in our institute. Case presentation A 64-year-old man presented with jaundice and intermittent abdominal dull pain that persisted for several weeks. [wjso.biomedcentral.com]
Radical pancreaticoduodenectomy is presently the most common method for resecting malignant ampullary tumors. [dergipark.org.tr]
Ampulla of Vater metastasis from recurrent uterine cervix carcinoma presenting as groove pancreatitis. Gastrointest Endosc. 2011; 73:362–363. 11. Chin AI, Lam JS, Figlin RA, Belldegrun AS. [synapse.koreamed.org]
Entire Body System
- Hunting
Gansler TS, Hardman W 3rd, Hunt DA, Schaffel S, Hennigar RA (1997) Increased expression of fatty acid synthase (OA-519) in ovarian neoplasms predicts shorter survival.Hum Pathol 28: 686-692. [omicsonline.org]
- Turkish
Turkish Journal of Medical Sciences. 2012; 42(5): 946-950. IEEE A. Dökmeci, M. Yakut, N. Örmeci, H. Özkan ve G. [dergipark.org.tr]
Liver, Gall & Pancreas
- Jaundice
Signs and symptoms include jaundice, abdominal pain, anorexia, nausea, vomiting, and weight loss. [ NCIT : C3908 ] Synonyms: ampullary carcinoma hepatopancreatic ampulla carcinoma ampullary cancer Ampulloma ampulla of Vater cancer carcinoma of the ampulla [ebi.ac.uk]
On admission, the patient was markedly affected by jaundice, with no relevant findings in the abdominal examination. [karger.com]
Obstructive jaundice due to ampullary metastasis of renal cell carcinoma. World J Surg Oncol. 2013; 11:262. [synapse.koreamed.org]
The patient was hospitalized for right upper quadrant abdominal pain and jaundice which had developed 10 days prior. Computed tomography (CT) and ultrasonography (US) revealed dilatation of the common bile duct and the intrahepatic bile duct. [e-ce.org]
Carcinoma of the ampulla of Vater is a rare malignant tumor originating from the ampulla of Vater that can present with symptoms of general fatigue, loss of appetite, weight loss, nausea, vomiting, abdominal pain and, most commonly, painless obstructive jaundice [orpha.net]
Workup
Duodenoscopy in combination with EUS-FNA are first-line diagnostic procedures in the workup of papillary tumors. Surgery is the treatment of choice in the presence of invasive carcinoma (T>T1a; N1) [2]. [karger.com]
We highlight such a case, and its diagnostic workup. Case Report: A 61 year old woman presented with painless obstructive jaundice of 2 months duration. MRI scan showed a stricture in the distal common bile duct suggestive of a neoplasm. [journals.sjp.ac.lk]
(ie, for staging purposes) Positron emission tomography (PET) or PET-CT scanning: PET or PET-CT scans can detect metastases that are too small to be reliably detected on a CT scan See Workup for more detail. [emedicine.medscape.com]
Choledocholithiasis Duodenal Ulcers Gallbladder Cancer Gallbladder Tumors Lymphoma, Non-Hodgkin Pancreatic Cancer Pancreatitis, Chronic Papillary Necrosis Papillary Tumors Other Problems to be Considered: Duodenal carcinoma Adenoma at the ampulla of Vater WORKUP [oncology-articles.blogspot.com]
Treatment
Diagnosis and treatment of ampullary tumors. Gastroenterol Hepatol 2009; 32: 101-8 (article in Spanish). Huang YT, Xing MR. Local resection for the treatment of carcinoma of the papilla of Vater. Zhonghua Wai Ke Za Zhi 1994; 32: 603-5. 3. [dergipark.org.tr]
Surgical resection is the only curative treatment, being the pancreatoduodenectomy or the ampullectomy the most common options. [scielo.isciii.es]
Fig. 6A – pre-treatment blood tests Treatment We offered a comprehensive approach to properly manage the pain, improve nutritional status and treat the cancer. [medicorcancer.com]
Pancreaticoduodenectomy is the treatment of choice for this tumor. Long-term survival was independently influenced by the depth of tumor infiltration and lymph node metastasis. [link.springer.com]
Hence, conservative treatment including chemotherapy and bile drainage was done. (Korean J Gastrointest Endosc 2010;41:251-254) Key Words: Signet-ring cell carcinoma, Ampulla of Vater cancer 주요어: 반지 세포암, 바터 팽대부 암 [e-ce.org]
Prognosis
As for prognosis, Hara et al (12) showed that SRC localized in the ampulla of Vater has a poor prognosis and lymph node involvement is also regarded as a key prognostic factor. [spandidos-publications.com]
We have summarized these reports, including the clinical course and final prognosis of ASC of the AmV, in Table 2[1–4]. ASC of the AmV is a virulent disease with a worse prognosis than that of adenocarcinoma. [wjso.biomedcentral.com]
Careful clinicopathologic staging is important for the prognosis after resection. Copyright Copyright © 1998 Hindawi Publishing Corporation. [hindawi.com]
The median OS for patients with ASC of the pancreas was nearly half that of patients with pancreatic ductal adenocarcinomas.13 We found that ASC patients have poorer prognosis than those with AC, but better prognosis than SCC patients. [dovepress.com]
Main menu Home Current Issue Archive Info for Authors Subscribers Advertisers Editorial Board Other Publications In Vivo Cancer Genomics & Proteomics Cancer Diagnosis & Prognosis More IIAR Conferences 2008 Nobel Laureates About Us General Policy Contact [ar.iiarjournals.org]
Etiology
The fully revised and updated Sixth Edition of the AJCC Cancer Staging Manual brings together all currently available information on staging of cancer at various anatomic sites and incorporates newly acquired knowledge on the etiology and pathology of [books.google.com]
In this theory, signet-ring cell carcinoma originates from periampullary duodenal heterotopias of an ulcerative etiology and expands to the ampulla of Vater. [file.scirp.org]
Besides, tumor etiology is unclear, but several hypotheses have been offered to explain the histogenesis of ASC. [dovepress.com]
Causes: The etiology of the disease is poorly understood. Patients with familial adenomatous polyposis (FAP) have an increased risk of both benign and malignant ampullary tumors (Burke, 1999). [oncology-articles.blogspot.com]
Epidemiology
Between 1973 and 2005, 5,625 cases were recorded in the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute. [thehealthscience.com]
Ampullary carcinoma: Epidemiology, clinical manifestations, diagnosis and staging. https://www.uptodate.com/contents/search. Accessed Sept. 8, 2019. Related Products & Services [mayoclinic.org]
Epidemiology, Clinical manifestations, Diagnosis and staging, Treatment and prognosis. [slideshare.net]
Epidemiologic aspects of renal cell carcinoma. Semin Oncol. 2006; 33:527–533. 3. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin. 2017; 67:7–30. 4. Ljungberg B, Alamdari FI, Rasmuson T, Roos G. [synapse.koreamed.org]
Pathophysiology
In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Saunders Elsevier; 2016. https://www.clinicalkey.com. Accessed June 13, 2019. Ryan DP, et al. [mayoclinic.org]
Pathophysiology Periampullary carcinoma includes tumors arising in the head, neck, or uncinate process of the pancreas, tumors arising in the distal common bile duct, tumors arising in the duodenum, as well as tumors arising from the ampulla of Vater. [thehealthscience.com]
Pathophysiology: Ninety percent of ampullary tumors are adenocarcinomas. Neuroendocrine tumors, cystadenomas, and adenomas represent additional, but uncommon, histologic types. [oncology-articles.blogspot.com]
Prevention
Updated meta-analysis of pancreatic stent placement in preventing post-endoscopic retrograde cholangiopancreatography pancreatitis. World J Gastroenterol 2015;21:7577–83. [link.springer.com]
Prevention Ampullary cancer is such a rare condition that experts aren’t sure what steps, if any, can be taken to prevent it. It does appear to be more common among men than women. [essentiahealth.org]
[…] through the ampulla: the sphincter of the pancreatic duct, the sphincter of the bile duct, and the sphincter of Oddi. [ citation needed ] The sphincter of Oddi controls the introduction of bile and pancreatic secretions into the duodenum, as well as preventing [en.wikipedia.org]
We gave the patient routine supplementation with R alpha lipoic acid 150mg t.i.d. and benfotiamine 80mg b.i.d. to help prevent DCA side effects. Within 1 week, the patient’s fevers disappeared. [medicorcancer.com]
Deterrence/Prevention: Those with FAP and their family members should be counseled about the possibility of acquiring ampullary carcinoma. [oncology-articles.blogspot.com]