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Revista Médica Electrónica
On-line version ISSN 1684-1824
Abstract
PRIETO-FAGUNDO, Leivys et al. Management of malignant periampullary tumors in patients evaluated in multidisciplinary consultation. Rev.Med.Electrón. [online]. 2023, vol.45, n.4, pp. 589-603. Epub Aug 31, 2023. ISSN 1684-1824.
Introduction:
Malignant tumors located in the periampullary region may be: ampullary (ampullary carcinoma), biliary (chollangiocarcinoma), pancreatic (tumors of the pancreas head) or duodenal (cancer of the second duodenal portion). They constitute a health problem due to their high mortality and a reason of frequent multidisciplinary consultation by digestive oncology.
Objective:
To describe the diagnostic procedures and the histopathological results associated to the management of periampullary tumors in patients treated in multidisciplinary consultations.
Materials and methods:
A descriptive and prospective study was conducted in 34 patients diagnosed with these neoplasms at the Clinical-Surgical University Hospital Comandante Faustino Perez. The date ranges from January to December 2021. Variables such as age groups, sex, imaging, endoscopic and histological results, pathway for biopsy and definitive treatment were studied. The results were collected in a data collection form.
Results:
Male sex and the age group from 50 to 69 years predominated. Abdominal computed axial tomography showed higher sensitivity in the diagnosis than ultrasound. Retrograde endoscopic cholangiopancreatography was the most widely used diagnostic and therapeutic method, followed by palliative surgical treatment
Conclusions:
The management of the tumors, as well as their definitive treatment, was related to their location. Since all of them could not be staged, histological study was necessary.
Keywords : periampullary tumors; cholangiocarcinoma; ampulloma; pancreatic cancer.