Case Report
Copyright ©2013 Baishideng Publishing Group Co.
World J Gastrointest Oncol. Oct 15, 2013; 5(10): 195-197
Published online Oct 15, 2013. doi: 10.4251/wjgo.v5.i10.195
Table 1 Summary of case reports, findings and outcome from selected publications
AuthorPresentationEndoscopic findingsOutcomeConclusion
Kwon et al[5]56 yr old male with melenaEGD-tumor of ampulla of Vater with bleeding on surfacePancreaticoduodenectomyIf followed up after a diagnosis, local excision can be curative, avoiding surgery or lymph node dissection
Okubo et al[6]61 yr old male with epigastric pain and melenaEGD, ERCP, EUS-tumor of papilla of VaterPylorus-preserving Pancreaticoduodenectomy and lymph node dissection; Lymph nodes positiveDo not limit to local resection, as disease recurrence, lymph node involvement or distant metastases may occur
Witkiewicz et al[7]38 yr old female with right upper quadrant abdominal painEGD-mass in duodenum near ampulla of VaterEndoscopic excision of mass followed by pylorus-preserving pancreaticoduodenectomy as margin was positiveIt may recur or metastasize; hence pancreaticoduodenectomy with lymph node dissection might be indicated for large lesions with infiltrative margin or lesions with pleomorphism and mitoses
Morita et al[8]53 yr old male with incidental finding on EGDEUS-submucosal tumor in the 3rd-4th layerEndoscopic mucosal resectionEndoscopic removal is an alternative to surgical resection if no local or distant invasion
Sakhuja et al[9]33 yr old male with obstructive jaundiceERCP-periampullary growthPancreaticoduodenectomyRecognize and diagnose this rare benign entity (with 3 components on H and E sections)
Evans et al[10]56 yr old male with epigastric pain, vomiting and obstructive jaundiceEGD-pedunculated ampullary tumorPylorus-preserving total pancreatectomyBenign entity-2 yr post procedure no recurrence of tumor