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Journal articles on the topic 'Periampullary carcinoma'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Yin, Lei, Mingming Yuan, Xuefeng Xia, and Wen-Long Yu. "Auxiliary diagnosis of periampullary carcinomas by comprehensive next-generation sequencing." Journal of Clinical Oncology 40, no. 16_suppl (2022): e16221-e16221. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.e16221.

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e16221 Background: Periampullary carcinoma, originating from ampulla, head of pancreas, common bile duct and duodenum, is a group of highly heterogeneous tumors with similar clinical presentations and anatomical sites but totally different prognosis. This study aims to investigate the potential diagnostic value of molecular testing in patients with periampullary carcinomas. Methods: This study retrospectively recruited patients diagnosed with periampullary, common bile duct, head of pancreas and duodenum cancers whose tumor tissue or circulating free DNA samples were sent to perform parallel h

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Dhakhwa, Ramesh, and Neeta Kafle. "Histopathologic Analysis of Pancreaticoduodenectomy Specimen." Journal of Nepal Medical Association 55, no. 204 (2016): 79–85. http://dx.doi.org/10.31729/jnma.2857.

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Introduction: Whipple’s Pancreaticoduodenectomy has increasingly been used as an appropriate resectional procedure for tumors of the periampullary region which are pancreatic, periampullary, ampullary and biliary tumors. Our aim was to study the distribution and histopathologic features of these tumors and to examine local trends of periampullary neoplasms resected with a PD.Methods: A descriptive study was conducted in the department of Pathology, Kathmandu Medical College Teaching Hospital from July 2013 to June 2016.Results: Thirty five patients underwent Whipple’s Pancreaticoduodenectomy p

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3

BÖRSCH, G., G. SCHMIDT, K. SCHÄFER, R. ERNST, E. BÖHM, and K. U. TIEDJEN. "Advanced Periampullary Carcinoma." Southern Medical Journal 78, no. 10 (1985): 1251–53. http://dx.doi.org/10.1097/00007611-198510000-00027.

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4

Fuhrman, George M. "Hepatobiliary: periampullary carcinoma." Current Surgery 56, no. 7-8 (1999): 372–76. http://dx.doi.org/10.1016/s0149-7944(99)00173-7.

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5

Thandassery, Ragesh B. "Isolated periampullary tuberculosis: masquerading as periampullary carcinoma." Tropical Gastroenterology 34, no. 3 (2013): 202–4. http://dx.doi.org/10.7869/tg.136.

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6

Thandassery, Ragesh B. "Isolated periampullary tuberculosis: masquerading as periampullary carcinoma." Tropical Gastroenterology 34, no. 2 (2013): 202–4. http://dx.doi.org/10.7869/tg.2012.136.

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7

Sohn, Taylor A., Keith D. Lillemoe, John L. Cameron, et al. "Reexploration for Periampullary Carcinoma." Annals of Surgery 229, no. 3 (1999): 393–400. http://dx.doi.org/10.1097/00000658-199903000-00013.

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8

Robertson, J. F. R., C. W. Imrie, D. J. Hole, D. C. Carter, and L. H. Blumgart. "Management of periampullary carcinoma." British Journal of Surgery 74, no. 9 (1987): 816–19. http://dx.doi.org/10.1002/bjs.1800740921.

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9

Knox, R. A., R. D. Kingston, C. W. Imre, D. C. Carter, J. F. R. Robertson, and L. H. Blumgart. "Management of periampullary carcinoma." British Journal of Surgery 75, no. 3 (1988): 291–92. http://dx.doi.org/10.1002/bjs.1800750339.

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10

Balekuduru, Avinash, Amit Dutta, Satyaprakash Bonthala Subbaraj, and Peter Vilmann. "Endoscopic Ultrasound-Guided Choledochoduodenostomy and Enteral Palliative Stenting in Inoperable Periampullary Carcinoma." Journal of Digestive Endoscopy 08, no. 02 (2017): 086–89. http://dx.doi.org/10.4103/jde.jde_38_16.

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ABSTRACTInoperable periampullary carcinoma with failed Endoscopic Retrograde CholangioPancreaticography (ERCP) could result in both biliary and duodenal obstruction. We report a case of inoperable periampullary carcinoma with duodenal obstruction and failed ERCP. She underwent successful simultaneous EUS-CDS for biliary obstruction and enteral stent for duodenal stenosis.

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11

Bibi, Rabia, Mishal Liaqat, Kalsoom Bibi, Iram Liaqat, and Yasmeen Akhtar. "Rare Periampullary Carcinoma: A Case Report." Pakistan Journal of Medical and Health Sciences 16, no. 5 (2022): 210–11. http://dx.doi.org/10.53350/pjmhs22165210.

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Periampullary carcinoma is usually used to define a heterogeneous group of neoplasms raised on the head of the pancreas, duodenum, and distal common bile duct. Most of the periampullary growths are adenocarcinomas. Timely diagnosis and successful surgical treatment are dependent on the first physician. A 60 years old male patient was presented to medical outpatients of Bahawal Victoria Hospital Bahawalpur in October 2019 with a rare etiology of unexpected vomiting, nausea, fatigue, weight loss, and abdominal cramps for 12 days continuously. Abdominal ultrasound revealed a hypo-echoic mass with

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12

Kashani, Amir, Nicholas N. Nissen, Maha Guindi, and Laith H. Jamil. "Metastatic Periampullary Tumor from Hepatocellular Carcinoma Presenting as Gastrointestinal Bleeding." Case Reports in Gastrointestinal Medicine 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/732140.

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Periampullary tumors constitute a number of diverse neoplastic lesions located within 2 cm of the major duodenal papilla; among these, metastatic lesions account for only a small proportion of the periampullary tumors. To our knowledge, a metastatic periampullary tumor from hepatocellular carcinoma has never been reported. A 62-year-old male reported to our institute for fatigue and low hemoglobin. His medical history was remarkable for multifocal hepatocellular carcinoma (HCC) treated with selective transcatheter arterial chemoembolization (TACE). An esophagogastroduodenoscopy (EGD) was perfo

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13

Ranade, A. A., A. Bhatt, Darshana Patil, et al. "Liquid biopsy in periampullary carcinoma." International Journal of Molecular and Immuno Oncology 1, no. 1 (2016): 45. http://dx.doi.org/10.18203/issn.2456-3994.intjmolimmunooncol20164388.

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<p style="margin: 0in 0in 8pt 0.25in; text-align: justify;">Periampullary cancers are rare tumors arising within 2 cm of the major papilla of the duodenum. In this case report, we describe the use of liquid biopsy to analyze cell-free tumor DNA and exosomal microRNA to guide treatment selection in a patient with periampullary adenocarcinoma. To our knowledge, this is the first time such case report has been described in the literature.</p>

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14

Arulprakash, S., GeorgeM Chandy, AmitKumar Dutta, A. Joseph, and ManojKumar Sahu. "Pancreatic ascariasis with periampullary carcinoma." Tropical Parasitology 5, no. 1 (2015): 55. http://dx.doi.org/10.4103/2229-5070.145590.

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15

Nimura, Yuji. "Reductive Surgery for Periampullary Carcinoma." Japanese Journal of Gastroenterological Surgery 28, no. 1 (1995): 99–103. http://dx.doi.org/10.5833/jjgs.28.99.

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16

Shukla, Parul J., Sajid S. Qureshi, Shailesh V. Shrikhande, Palepu Jagannath, and Luis J. DeSouza. "Reoperative pancreaticoduodenectomy for periampullary carcinoma." ANZ Journal of Surgery 75, no. 7 (2005): 520–23. http://dx.doi.org/10.1111/j.1445-2197.2005.03438.x.

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17

Robinson, Emily K., Jeffrey E. Lee, Andrew M. Lowy, Claudia J. Fenoglio, Peter W. T. Pisters, and Douglas B. Evans. "Reoperative pancreaticoduodenectomy for periampullary carcinoma." American Journal of Surgery 172, no. 5 (1996): 432–38. http://dx.doi.org/10.1016/s0002-9610(96)00218-8.

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18

Kalluri Sai Shiva, Uma Mahesh, Murali Manohar Kuruva, Sasikala Mitnala, et al. "MicroRNA profiling in periampullary carcinoma." Pancreatology 14, no. 1 (2014): 36–47. http://dx.doi.org/10.1016/j.pan.2013.10.003.

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19

Tewari, Mallika, Jyoti R. Swain, V. K. Dixit, and H. S. Shukla. "Molecular Aberrations in Periampullary Carcinoma." Indian Journal of Surgical Oncology 8, no. 3 (2017): 348–56. http://dx.doi.org/10.1007/s13193-017-0645-2.

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20

Shahriar, Shaon, Niloy Dipanker Ghosh, Shoeb Imtiaz Alam, Akhter Ahmed, and SM Quamrul Akther. "Periampullary Adenocarcinoma with Incidental Gastric Carcinoid Tumor: Report of an Extremely Rare Case." Journal of Shaheed Suhrawardy Medical College 13, no. 2 (2023): 183–86. http://dx.doi.org/10.3329/jssmc.v13i2.65183.

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Periampullary neoplasms are a heterogeneous group of tumors arising within 2 cm of the ampulla of Vater. Neuroendocrine tumors can originate throughout the entire body from neuroendocrine cells. These neoplasms exhibit deep differences, according to their origin and biological behavior. The synchronous presence of a primary tumor in patients affected by a neuroendocrine tumor is reported in the literature; incidence is variable and the most common site is the gastrointestinal tract. Here we report a case of 68 years old female presented with jaundice, anorexia and weight loss. She was mildly a

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21

Sharma, Deepti, Garima Singh, Neha Kakkar, and Vidya Jha. "Extensive periampullary carcinoma with scapula metastasis: a case report." Asian Pacific Journal of Health Sciences 3, no. 4 (2016): 123–25. http://dx.doi.org/10.21276/apjhs.2016.3.4.20.

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22

Shah, Suryalok Pratap, Shahbaz Ahmad Pandit, Alok Kumar Pandey, et al. "An unusual case report of metastatic periampullary carcinoma." International Surgery Journal 11, no. 4 (2024): 672–74. http://dx.doi.org/10.18203/2349-2902.isj20240762.

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Pancreatic cancers usually metastasize through the lymphoid system to organs such as the lung, liver, bone and spleen. Ovarian metastasis in pancreatic cancers is extremely rare, hence, it is difficult to distinguish between primary and metastatic ovarian tumors, especially in tumors with a primary source from the GIT & Hepatobiliary system. We present the case of a periampullary carcinoma with ovarian metastasis in a middle-aged female who presented with complaints of abdominal pain, constipation, yellowish discoloration of eyes and dark colored urine along with loss of appetite and weigh

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23

Murali Manohar, K., Mitnala Sasikala, Yesaswini KVSRR, et al. "Plasma microRNA192 in combination with serum CA19-9 as non-invasive prognostic biomarker in periampullary carcinoma." Tumor Biology 39, no. 3 (2017): 101042831769501. http://dx.doi.org/10.1177/1010428317695018.

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In this study, circulating microRNAs (miRNAs) are being investigated as non-invasive biomarkers for early diagnosis and prognosis of human cancers. Since the prognosis for pancreatobiliary subtype of periampullary carcinoma is poor, we assessed the prognostic relevance of miRNAs in combination with CA19-9 as noninvasive biomarker in periampullary carcinoma. Circulating miRNAs in plasma and serum CA19-9 were evaluated in periampullary carcinoma patients (n = 109) undergoing Whipple’s pancreaticoduodenectomy and in healthy volunteers (n = 92). Tumour tissues were subjected to staging and subtypi

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24

Beger, Hans G., and Michael H. Schoenberg. "The Role of Laparoscopy and Ultrasonography in Pancreatic Head Carcinoma." HPB Surgery 10, no. 3 (1997): 186–88. http://dx.doi.org/10.1155/1997/72893.

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Objective: The authors performed a prospective evaluation of staging laparoscopy with laparoscopic ultrasonography in predicting surgical resectability in patients with carcinomas of the pancreatic head and periampullary region.Summary Background Data: Pancreatic resection with curative intent is possible in a select minority of patients who have carcinomas of the pancreatic head and periampullary region. Patient selection is important to plan appropriate therapy and avoid unnecessary laparotomy in patients with unresectable disease. Laparoscopic ultrasonography is a novel technique that combi

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25

Torres Domínguez, A., JK Bisso Zein, and JM Rosales Zábal. "Double duct sign in periampullary carcinoma." Revista Andaluza de Patología Digestiva 45, no. 3 (2022): 103–5. http://dx.doi.org/10.37352/2022453.6.

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Resumen El diagnóstico de los tumores de la ampolla de Váter a través de las pruebas de imagen continúa siendo un reto en la actualidad por la variable y compleja anatomía de la región periampular, así como por las distintas formas de afectación local. El "signo del doble conducto", resultado de la dilatación del colédoco y el conducto pancreático, es altamente sugestivo de esta patología y facilita el diagnóstico diferencial, si bien sólo aparece en la mitad de los casos. Presentamos el caso de una mujer de 83 años que ingresa en nuestra área de hospitalización por ictericia y coluria de 48 h

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26

Zaher, Tarik. "Video Case :Stenting of Periampullary Carcinoma." Afro-Egyptian Journal of Infectious and Endemic Diseases 2, no. 1 (2012): 54. http://dx.doi.org/10.21608/aeji.2012.15601.

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27

Vaghela, Dr Shiv Dhiren, Dr Meet Shah, and Dr Krunal Chaudhary. "A case presentation on periampullary carcinoma." International Journal of Case Reports in Surgery 6, no. 2 (2024): 64–65. http://dx.doi.org/10.22271/27081494.2024.v6.i2b.113.

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28

Rastogi, N., S. Kumar, V. K. Kapooor, and R. Saxena. "AOSP27 ADJUVANT CHEMORADIOTHERAPY IN PERIAMPULLARY CARCINOMA." European Journal of Cancer 49 (March 2013): S15—S16. http://dx.doi.org/10.1016/s0959-8049(13)70038-8.

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29

Geenen, Rutger C., Claudia M. Dekker, Thomas M. Gulik, Huug Obertop, and Dirk J. Gouma. "Palliative bypass surgery for periampullary carcinoma." Gastroenterology 118, no. 4 (2000): A1146. http://dx.doi.org/10.1016/s0016-5085(00)80397-2.

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30

Hirata, Shizuhiro, Koji Yamaguchi, Junji Ichikawa, et al. "Periampullary choledochoduodenal fistula in ampullary carcinoma." Journal of Hepato-Biliary-Pancreatic Surgery 8, no. 2 (2001): 179–81. http://dx.doi.org/10.1007/s005340170044.

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31

Jideh, Bilel, Hank Chen, Martin Weltman, and Calvin H. Y. Chan. "Metastatic periampullary clear cell renal carcinoma." Gastrointestinal Endoscopy 83, no. 5 (2016): 1040–42. http://dx.doi.org/10.1016/j.gie.2015.10.048.

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32

Mitra, Abhishek, Ashwin D’Souza, Mahesh Goel, and Shailesh V. Shrikhande. "Surgery for Pancreatic and Periampullary Carcinoma." Indian Journal of Surgery 77, no. 5 (2015): 371–80. http://dx.doi.org/10.1007/s12262-015-1358-9.

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33

Jabeen, Rashida, Lal Bux, Ghulam Akbar, and Sara Malik. "Rare periampullary carcinoma: A case study." International Journal of Oncology Research 1, no. 1 (2021): 05–07. http://dx.doi.org/10.33545/2664665x.2021.v1.i1a.2.

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34

Chilveri, Prasuna, Bhavani Adepu, and Triveni Bhopal. "To Study the Spectrum of Histopathological Variants of Periampullary Carcinoma." Indian Journal of Pathology: Research and Practice 7, no. 4 (2018): 416–22. http://dx.doi.org/10.21088/ijprp.2278.148x.7418.2.

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35

Kumar, Lovekesh, Shyam Sundar, Anubhav Vindal, and Pawanindra Lal. "Dual malignancy: a rare presentation of synchronous periampullary carcinoma with renal cell carcinoma." International Surgery Journal 7, no. 6 (2020): 2022. http://dx.doi.org/10.18203/2349-2902.isj20202425.

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The occurrence of synchronous pancreatic cancer and other primary cancer is not frequent and reaches about 5.6% as reported in autoptic studies. Double resections of the pancreas with another organ due to synchronous malignancies have been published only in quite sporadic sets of cases or individual case reports. We present a case report of a 40 years lady who presented with intermittent pain, fever and jaundice for 15 days. Examination revealed a palpable gall bladder, firm in consistency and tender to touch. She was admitted with a provisional diagnosis of cholangitis and started on intraven

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36

Mandal, Rajesh Kumar, Ramesh Singh Bhandari, and Paleswan Joshi Lakhey. "COMPARISON OF CLINICAL PARAMETERS AND PATHOLOGICAL FEATURES OF INTESTINAL AND PANCREATOBILIARY HISTOLOGIC PHENOTYPES OF PERIAMPULLARY CARCINOMA." Journal of Chitwan Medical College 13, no. 2 (2023): 104–8. http://dx.doi.org/10.54530/jcmc.1235.

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Background: Identification of the exact origin in large sized tumors of periampullary region is very difficult grossly and microscopically. The purpose of the study was to compare the two histological phenotypes of periampullary carcinoma in terms of their preoperative clinical parameters and pathological features. Methods: This was a prospective observational study done in patients diagnosed as periampullary carcinoma in specimen after pancreatoduodenectomy, between May 2018 and July 2019 at a Tertiary Teaching Hospital of Nepal. Relevant patient clinical characteristics, biochemical paramete

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37

Onate-Ocana, Luis F., Elyzabeth Bermudez-Benitez, Miguel Angel Ortiz-Toledo, Francisco J. Ochoa-Carrillo, and Vincenzo Aiello-Crocifoglio. "Factors associated with surgical resection for pancreatic and periampullary carcinomas in a cancer center in Mexico City." Journal of Clinical Oncology 30, no. 4_suppl (2012): 191. http://dx.doi.org/10.1200/jco.2012.30.4_suppl.191.

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191 Background: Medical information regarding periampullary neoplasms is scarce in Mexico. Therefore, our aim is to report our experience with pancreatic and periampullary neoplasms, with attention to factors associated to surgical resection in a Cancer Center. Methods: A retrospective analysis of medical records of all patients with malignant neoplasms located at periampullary region demonstrated by biopsy from January 2005 to December 2010. Factors associated to resectability or survival were calculated employing logistic regression or Cox models. Results: A total of 464 patients with neopla

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38

Goel Mangipudi Surya, Mahak. "Double Trouble: Rare Case of Metachronous Gastric Carcinoma in a Resected Case of Periampullary Carcinoma." International Journal of Science and Research (IJSR) 12, no. 7 (2023): 501–4. http://dx.doi.org/10.21275/sr23707210331.

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39

KOYAMA, Kenji. "POSTOPERATIVE MANAGEMENT FOR PANCREATICODUODENECTOMY IN PERIAMPULLARY CARCINOMA." Japanese Journal of Gastroenterological Surgery 18, no. 1 (1985): 156–59. http://dx.doi.org/10.5833/jjgs.18.156.

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40

Chae, Park, Cho, and Cho. "Reactive perforating collagenosis associated with periampullary carcinoma." British Journal of Dermatology 139, no. 3 (1998): 548–50. http://dx.doi.org/10.1046/j.1365-2133.1998.02435.x.

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41

Li, Yafan, Hongping Zuo, and Haofeng Lu. "Advances in Surgical Treatment of Periampullary Carcinoma." Journal of Biosciences and Medicines 12, no. 12 (2024): 55–66. https://doi.org/10.4236/jbm.2024.1212005.

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42

Clark, A. I., A. A. Dawkins, and R. T. Nair. "“Inverted Figure 3” sign of periampullary carcinoma." Abdominal Radiology 43, no. 9 (2018): 2542–43. http://dx.doi.org/10.1007/s00261-018-1507-2.

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43

Barvanyan, Georgiy M., and Aleksey P. Vlasov. "GASTROENTEROSTOMY IN PATIENTS WITH IRRESECTABLE PERIAMPULLARY CARCINOMA." Mordovia University Bulletin 26, no. 4 (2016): 522–32. http://dx.doi.org/10.15507/0236-2910.026.201604.522-532.

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44

Guyton, Daniel P., and Helmut Schreiber. "Intestinal polyposis and periampullary carcinoma—changing concepts." Journal of Surgical Oncology 29, no. 3 (1985): 158–59. http://dx.doi.org/10.1002/jso.2930290305.

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45

Akhtar, Ranam, Aroosa Kanwal, Khurram Khaliq Bhinder, Alishbah Ziad, and Ahmad Talha Tariq. "Spontaneous Hepatic Hemorrhage Following Whipple’s Procedure: A Report of Two Cases." Journal of Islamabad Medical & Dental College 14, no. 1 (2025): 95–102. https://doi.org/10.35787/jimdc.v14i1.1336.

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Whipple procedure, also known as pancreaticoduodenectomy, is a complex surgical operation performed for various pancreatic and periampullary pathologies. While the procedure has undergone significant refinements, it remains associated with significant morbidity and mortality.Spontaneous hepatic hemorrhage/ rupture is a rare but potentially life-threatening complication that has been reported in the literature. We present two rare cases of spontaneous hepatic rupture following Whipple procedure. A 79-year-old male underwent Whipple procedure for periampullary carcinoma. On postoperative day 19,

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46

Warfvinge, Carl Fredrik, Sebastian Lundgren, Jacob Elebro, et al. "The prognostic impact of CD3, CD8, FoxP3, and IL17 tumor-infiltrating immune cells in periampullary cancer differs by morphological type and adjuvant chemotherapy." Journal of Clinical Oncology 35, no. 7_suppl (2017): 53. http://dx.doi.org/10.1200/jco.2017.35.7_suppl.53.

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53 Background: The prognostic impact of tumor-infiltrating T lymphocytes has been evaluated in periampullary carcinoma, but previous studies have not taken into consideration the different morphological subtypes of cancers derived from the periampullary region. Herein, we investigated the prognostic impact and distribution of tumor-infiltrating CD3+, CD8+, FoxP3+ T lymphocytes as well as IL-17+cells in periampullary adenocarcinoma, with particular reference to morpohological subtyoe. Methods: Counts of CD3+, CD8+, FoxP3+ T lymphocytes, and IL-17+cells were assessed using immunohistochemistry o

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47

Vladimir, F. Kulikovsky Alexander V. Soloshenko Alexander A. Karpachev Andrei L. Iarosh Sergey B. Nikolaev Anjela V. Gnashko. "ENDOSCOPIC SURGICAL INTERVENTIONS IN TREATMENT OF PERIAMPULLARY CANCER." Indo American Journal of Pharmaceutical Sciences 04, no. 12 (2017): 4420–23. https://doi.org/10.5281/zenodo.1111647.

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We carried out the retrospective analysis of the results of treatment of 386 patients with periampullary cancer, complicated by obstructive jaundice. All patients were divided into two groups: the first group included patients who underwent traditional surgical interventions, and the second group included endoscopic transpapillary surgeries. Pancreas head cancer was detected in 177 patients, major duodenal papilla cancer - in 145, cancer of the common bile duct terminal portion - in 64 patients. Duration of the bile ducts obstruction lasted from 3 to 45 days. The presence of obstructive jaundi

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48

K.S., Swasthik, Preetha Sundaresan, and Varun Vijayan. "Extra-Hepatic Biliary Obstruction - A Cross-Sectional Study to Assess the Various Benign and Malignant Causes for Obstructive Jaundice among Patients Attending Trivandrum Medical College." Journal of Evolution of Medical and Dental Sciences 10, no. 9 (2021): 600–603. http://dx.doi.org/10.14260/jemds/2021/129.

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BACKGROUND Extra-hepatic biliary tract obstruction can be due to a number of conditions. Most causes are due to stones in the common biliary duct or due to malignant obstruction. Malignant causes include carcinoma head of pancreas, periampullary carcinoma and cholangiocarcinoma. Besides calculus and malignant obstruction, benign and malignant strictures can also cause obstruction of extra hepatic biliary ducts. The objectives of the study were to describe the clinical profile of patients presenting with extra-hepatic biliary obstruction and to assess the known aetiological factors. METHODS The

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49

Yalcin, Suayib, Neyran Kertmen, Deniz Yuce, Ferah Yildiz, and Erhan Hamaloglu. "The impact of adjuvant delayed radiotheraphy (RT) on survival in patients with resected periampullary adenocarcinomas." Journal of Clinical Oncology 31, no. 15_suppl (2013): e15168-e15168. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e15168.

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e15168 Background: Postoperative prognosis for ampullary carcinoma (AC) is superior to that of pancreatic cancer (PC), the former exhibiting higher complete surgical resection, lower recurrence and longer survival rates (1). Despite all the major recent advances in surgery, chemotherapy (CT) and RT, PC is still one of the most lethal malignancies, overall survival (OS) rates being as low as 5% at 5 years (2). This study was intended to evaluate survival in patients with resected periampullary cancer treated with adjuvant Gemcitabine (Gem) and cisplatin (Cis) with or without delayed RT (with Ge

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50

Deora, Harsh, Mayuresh M. Deshpande, Shalu Gupta, and D. Kannan. "Comman Bile Duct Stone Misdiagnosed as Periampullary Carcinoma." Journal of Case Reports 3, no. 1 (2013): 156–59. http://dx.doi.org/10.17659/01.2013.0038.

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