However, the small sample size of patients with ampullary carcinoma recruited in the ABC 02 study, and lack of other randomized trials, make the optimal treatment for these ajpolla still debatable. ![]() Malignant neoplasms affecting the major duodenal papilla are rare, and the adenocarcinoma is the histological type in almost all cases, but occasionally other histological types such as carcinoid tumors, squamous cell and mucinous carcinomas can be found 4. ![]() Overall patients were divided in two treatment groups: Sikora et al Cetuximab, gemcitabine, and oxaliplatin in patients with unresectable advanced or metastatic biliary tract cancer: The study of microsatellite instability MSI pattern in ampullary tumours showed a significant association between high-MSI and intestinal mucinous differentiation. T2: tumor invades into the muscularis propria of the duodenum T3: tumor directly invades into the pancreas.ĭilation of the intra and extrahepatic bile duct 15 mm was noticed. ![]() Metastasis of breast cancer to major duodenal papilla Palabras clave: Ampolla de Vater Neoplasias de la mama Ictericia (fuente: DeCS BIREME). Carcinomas of the Ampulla of Vater are rare tumors, accounting for % of gastrointestinal cancers.
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