Erschienen in:
29.08.2020 | Case Report
Ampullary Adenocarcinoma: a Mini-Review and a Case Report of a Clinically Stable Disease Patient Treated with Herbal Supplements
verfasst von:
Khin Maung Lwin, Ye Htut Linn, Yamin Kyaw Swar Dee
Erschienen in:
Journal of Gastrointestinal Cancer
|
Ausgabe 2/2021
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Excerpt
The ampulla of Vater is situated where the common bile duct (CBD) merges with the pancreatic duct and exits into the duodenum. The portion is lined by the columnar epithelium which is similar to that of the lower CBD. Ampullary carcinoma (AC) is a rare malignant tumour originating from the ampulla of Vater and it accounts for approximately 0.2% of all gastrointestinal tract malignancies [
1]. Among the 2564 periampullary adenocarcinoma patients who had undergone pancreaticoduodenectomy (PD), AC is the second commonest (accounting for about 11–16%), preceded by carcinoma of the head of the pancreas (HOP)/duct which takes about 66% [
2,
3]. According to the data from the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Program, there were 5625 cases of AC between 1973 and 2005, and this has been increasing since 1973 [
4]. In Burgundy, France, age-standardized incidence rates were 0.46 and 0.30 per 100,000 inhabitants for men and women respectively based on the 34-year data. The incidence rate increased from 0.26 (1976–1984) to 0.58 (2003–2009) for men and remained stable for women [
5]. Metabolic diseases such as diabetes, gall stone, chronic pancreatitis, high total cholesterol, low high-density lipoprotein, and low apolipoprotein A were found to be significantly related to ampullary cancer [
6]. …