Rouxeny reconstruction following completion of a standard pancreaticoduodenectomy. There is no conclusive data fe confirm the usefulness of adjuvant radiotherapy or ccrt in biliary tract cancer whereas favorable results support the use of adjuvant. Jan 14, 2020 carcinomas of the ampulla of vater are rare tumors, accounting for % of gastrointestinal cancers. The concept of ampullary carcinoma as a distinct entity is challenged by the categorization of dd into intestinal type and biliopancreatic type histologically. Intestinal ampullary adenocarcinomas originate from the intestinal epithelium overlying the ampulla whereas pancreaticobiliary ampullary carcinomas originate from the epithelium of the distal common bile duct and distal pancreatic duct. To date, there are no consistent data concerning biliary tree tumors and antiangiogenic drugs and only a few studies concerning antiepidermal growth factor receptor egfr drugs. Periampullary tumors are neoplasms that arise in the vicinity of the ampulla of vater. Origen duodenal, pancreatico y coledociano, localizacion ampular. Oct 09, 2019 carcinomas of the ampulla of vater are rare tumors, accounting for % of gastrointestinal cancers. Due to the invasive nature of the lesion, palliative treatment was offered with replacement of the plastic stent for a metallic one the patient had significant improvement of the cholestatic syndrome and abdominal pain. Metastasis of breast cancer to major duodenal papilla palabras clave.
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