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HPB Surgery
Volume 9 (1995), Issue 1, Pages 59-60

Is Late Recurrence after Radical Resection for Ampullary Carcinoma A Problem?

FRCSC Section of Hepatobiliary Pancreatic Surgery Washington, University School of Medicine, St. Louis, Missouri, USA

Copyright © 1995 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.


Of 36 patients with carcinoma of the ampulla of Vater who underwent surgery between 1971 and 1990, 31 had a radical operation. There was one operative death. The overall 5- and 10-year survival rates were 56 and 37 per cent respectively. Survival was significantly influenced by tumour stage (p=0.0002), lymph node sthtus (p=0.006) and the degree of differentiation of the lesion (P=0.01). Three patients developed local recurrence after local excision of the tumour. Local or hepatic recurrence was common, even 5 years after pancreatoduodenectomy (four of 18 patients who suffered relapse). Radical resection can be curative in selected patients with ampullary carcinoma but late recurrence suggests the need for careful lifelong follow-up.