Lymph nodes metastases are present in as many as half of patients. Pericanalicular lymph nodes usually are the first to be involved. Nodes along the superior mesenteric, gastroduodenal, common hepatic,...
Chromoendoscopy with indigo carmin stain. Curative surgical resection is the only option for long-term survival. Surgical or radiologic biliary decompression, relief of gastric outlet obstruction,...
Carcinoma of the ampulla of Vater is a malignant tumor arising within 2 cm of the distal end of the common bile duct, where it passes through the wall of the duodenum and ampullary papilla. The common...
This is the case of a seventy-three year old male with a biopsy proven ampullary villous adenoma, presented with jaundice, showed markedly elevated alkaline fosfatase and the abdominal ultrasound displays...
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