Home Bratislava Medical Journal 2019 Bratislava Medical Journal Vol.120, No.12, p.908–911, 2019

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.120, No.12, p.908–911, 2019

Title: Ampullary cancer in a patient with familial adenomatous polyposis – a rare case report and current status of management
Author: M. Sabol, R. Donat, K. Kajo, J. Palaj, D. Dyttert, V. Reken, P. Chvalny, P. Makovnik, S. Durdik

Abstract: Familial adenomatous polyposis (FAP) is an inherited autosomal dominant disorder. Extracolonic manifestations are seen quite often. As prophylactic colectomy has become a standard care in FAP patients, the concerns over the development of associated extracolonic malignancies have become more prevalent. The authors report a case of a patient with the history of subtotal colectomy because of FAP with the development of adenocarcinoma of papilla of Vater twenty-six years later. A radical procedure in form of proximal pancreaticoduodenectomy was indicated. Variable endoscopic surveillance protocols and treatment strategies have been proposed concerning the management of duodenal and periampullary lesions. In case of periampullary malignancies, the radical surgical resection offers the only chance for cure and the only option that may safeguard the long‑term survival (Fig. 2, Ref. 30).

Keywords: ampulla of Vater, bile duct, obstructive jaundice, pancreatoduodenectomy, periampullary tumors
Published online: 18-Dec-2019
Year: 2019, Volume: 120, Issue: 12 Page From: 908, Page To: 911

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