Endoscopic snare papillectomy: a possible radical treatment for a subgroup of T1 ampullary adenocarcinomas.
Endoscopy
; 45(5): 401-4, 2013.
Article
en En
| MEDLINE
| ID: mdl-23616129
ABSTRACT
Pancreaticoduodenectomy is the standard care for invasive ampullary adenocarcinomas. However, endoscopic snare papillectomy (ESP) might play a curative role in very selected patients. We studied a series of 15 patients with T1 ampullary adenocarcinoma who were treated by ESP alone and followed up for a mean of 29.6 ± 21.9 months (range 8 - 81 months). ESP was curative for eight patients (57.1 %). No tumor-related death was observed in patients with a cancer infiltration depth of ≤ 4 mm. According to this preliminary experience, we suggest that this measurable variable threshold should be considered as a possible basis for future large-scale studies.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Ampolla Hepatopancreática
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Adenocarcinoma
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Neoplasias del Conducto Colédoco
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Recurrencia Local de Neoplasia
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Aged80
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Endoscopy
Año:
2013
Tipo del documento:
Article
País de afiliación:
Italia