Year 2017 / Volume 109 / Number 3
Letter to the Editor
Unusual presentation of obstructive jaundice

238-239

DOI: 10.17235/reed.2017.4501/2016

Alejandra Gordillo Hernández, Ángel Nogales Muñoz, Fernando Oliva Mompeán,

Abstract
Carcinoid tumors of the ampulla of Vater grow slowly and have an excellent prognosis after complete resection of local disease. Histopathological diagnosis is definitive, and the Whipple's procedure is performed as a standard at the present time, although more novel minimally-invasive techniques may be highly useful for selected patients. While tumor size is not a reliable marker of tumor aggression, it is nonetheless related to lymphatic invasion, hence an accurate diagnosis is important if the patient is to be offered the best option available for the treatment of their disease. Endoscopic ultrasound (EUS) is the technique of choice for presurgical assessment and endocopic excision, as it may rule out vascular and nodal involvement, and establish whether submucosal invasion is present, which precludes endoscopic resection. Local resection has been shown to obtain similar results as compared to CDP in terms of overall survival in patients with small periampullary NETs, with the advantage of significantly lower morbidity in selected cases.
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21/03/2017 1:39:14
This is great


References
1. Cervical adenopathy as first symptom of a neuroendocrine ampullarf tumor. Calles LA, Iglesias Eider Etxeberría N, Goñi F et al. Endocrinol Nutr. 2014 Nov;61(9):493-5.
2. The novel WHO 2010 classification for gastrointestinal neuroendocrine tumours correlates well with the metastatic potential of rectal neuroendocrine tumors. Jernman J1, Välimäki MJ, Louhimo J et al. Neuroendocrinology. 2012;95(4):317-24.
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Gordillo Hernández A, Nogales Muñoz Á, Oliva Mompeán F. Unusual presentation of obstructive jaundice. 4501/2016


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Publication history

Received: 16/06/2016

Accepted: 18/07/2016

Online First: 13/02/2017

Published: 28/02/2017

Article revision time: 16 days

Article Online First time: 242 days

Article editing time: 257 days


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