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HPB Surgery
Volume 11 (2000), Issue 5, Pages 339-344
http://dx.doi.org/10.1155/2000/91250
Case Report

Adenoma of the Papillae of Vater. Report of Eleven Cases

1Department of Surgery, Oulu University Hospital, Oulu, Finland
2Department of Surgery, Division of Gastroenterology, Oulu University Hospital, Kajaanintie 50, Oulu FIN-90220, Finland

Received 25 April 1998

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Eleven patients with a preoperative diagnosis of adenoma of the papillae of Vater were followed up during the fifteen-year period from 1984 till 1998 in the Oulu University Hospital. Seven patients were treated primarily by transduodenal excision without any recurrences so far. One of these seven patients was found to have adenocarcinoma in a histological examination.

Active surgery for adenoma of the papillae of Vater is recommended because of the precancerous nature of the lesion, and because malignancy cannot always be detected by endoscopic biopsies. Transduodenal excision could be recommend for patients at high operative risk, especially in cases with small adenomas and low-grade dysplasia, where histologically free resection margins can be achieved, but pancreaticoduodenectomy should still be performed on patients at low operative risk.