Biliary tract carcinomas. III. Cancer of Vater's papilla

In the third successive paper on biliary tract carcinomas, the authors discuss the carcinoma of the terminal segment of biliary ducts - duodenal papilla. Nineteen patients are discussed, operated at the Chair of Abdominal Surgery for the period 1952-1979, representing I per cent of all biliary opera...

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Bibliographic Details
Published inVutreshni bolesti Vol. 20; no. 5; p. 45
Main Authors Merdzhanov, A, Damianov, D, Alersandrova, A
Format Journal Article
LanguageBulgarian
Published Bulgaria 1981
Subjects
Adenocarcinoma - pathology
Adult
Ampulla of Vater - pathology
Ampulla of Vater - surgery
Biliary Tract Neoplasms - diagnosis
Biliary Tract Neoplasms - pathology
Biliary Tract Neoplasms - surgery
Carcinoma - diagnosis
Carcinoma - pathology
Carcinoma - surgery
Common Bile Duct Neoplasms - diagnosis
Common Bile Duct Neoplasms - pathology
Common Bile Duct Neoplasms - surgery
Female
Humans
Male
Middle Aged
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Summary:In the third successive paper on biliary tract carcinomas, the authors discuss the carcinoma of the terminal segment of biliary ducts - duodenal papilla. Nineteen patients are discussed, operated at the Chair of Abdominal Surgery for the period 1952-1979, representing I per cent of all biliary operations and 5.7 per cent of the operations for biliopancreatic tumours. Those were 12 males and 7 females (1.7:1) - two up to the age of 40, 9 between the age of 40 and 60 and 8 - over 60. The disease is more frequent during the last decade. Regardless of the higher accessibility via the instrumental investigations and the more characteristic clinical picture the admittance for operation is delayed with an average of 1-3 months. Vater's papilla carcinoma is more perspective for a surgical treatment, 42 per cent of the cases being resectable, but mortality rate remains high -36 per cent. Survival could be improved with an earlier diagnosis and improvement of operation technique with radical interventions.
ISSN:0506-2772