A Vater-papilla tumoros megbetegedései--diagnosztikus és terápiás dilemmák.

Translated title of the contribution: Tumors of the papilla of Vater--diagnostic and therapeutic dilemmas

V. Balgha, L. Topa, K. Simon, I. Gál, L. Flautner, A. Pap

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Benign and malignant tumors of papilla Vateri are rare diagnoses in the endoscopic practice. Sixteen patients with benign and 22 cases of malignant tumors are presented. In all of them endoscopic cholangiopancreatography with or without papillotomy followed by biopsy and operation in 13 cases was performed. Biopsy confirmed the endoscopy in 71%. Adenomyosis, supposed by endoscopy was proved by repeated histology in only 2/9 cases although invasive component of the tumor was found in 3/9 patients at operation underlying precancerous nature of this entity. Among 5 cases of villous adenoma one developed malignant alterations during 4 years of follow-up. Biopsy was not more effective after papillotomy than without it, and 5-7 days of delay for recovery of thermic lesion did not ameliorate success rate of histology. For malignant diseases surgical therapy should be considered if staging of tumor and general condition of the patient permits. In unresectable cases endoscopic palliation (papillotomy or polypectomy with or without drainage) can increase survival. In patients with benign tumors operative endoscopy followed by regular ultra-sonography and endoscopy seems to be necessary.

Original languageHungarian
Pages (from-to)1387-1391
Number of pages5
JournalOrvosi Hetilap
Volume138
Issue number22
Publication statusPublished - Jun 1 1997

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Endoscopy
Biopsy
Neoplasms
Histology
Villous Adenoma
Adenomyosis
Endoscopic Sphincterotomy
Neoplasm Staging
Therapeutics
Drainage
Ultrasonography
Hot Temperature
Survival

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Balgha, V., Topa, L., Simon, K., Gál, I., Flautner, L., & Pap, A. (1997). A Vater-papilla tumoros megbetegedései--diagnosztikus és terápiás dilemmák. Orvosi Hetilap, 138(22), 1387-1391.

A Vater-papilla tumoros megbetegedései--diagnosztikus és terápiás dilemmák. / Balgha, V.; Topa, L.; Simon, K.; Gál, I.; Flautner, L.; Pap, A.

In: Orvosi Hetilap, Vol. 138, No. 22, 01.06.1997, p. 1387-1391.

Research output: Contribution to journalArticle

Balgha, V, Topa, L, Simon, K, Gál, I, Flautner, L & Pap, A 1997, 'A Vater-papilla tumoros megbetegedései--diagnosztikus és terápiás dilemmák.', Orvosi Hetilap, vol. 138, no. 22, pp. 1387-1391.
Balgha V, Topa L, Simon K, Gál I, Flautner L, Pap A. A Vater-papilla tumoros megbetegedései--diagnosztikus és terápiás dilemmák. Orvosi Hetilap. 1997 Jun 1;138(22):1387-1391.
Balgha, V. ; Topa, L. ; Simon, K. ; Gál, I. ; Flautner, L. ; Pap, A. / A Vater-papilla tumoros megbetegedései--diagnosztikus és terápiás dilemmák. In: Orvosi Hetilap. 1997 ; Vol. 138, No. 22. pp. 1387-1391.
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