1987 Volume 29 Issue 11 Pages 2506-2513_1
We report 5 cases of adenoma of the papilla Vater, including one case consisting of adenoma and carcinoma. They are 4 male and 1 female, ranging in age from 50 to 80 years. Chief complaints in 4 cases were epigastralgia, itching, icterus and loss of weight, respectively, and in the remaining 1 patient the adenoma was found incidentally by routine upper GI check up for liver cirrhosis. Endoscopic findings showed tumor of the papilla in 3 cases and swelling of the papilla Vater in other 2 cases. Endoscopic biopsy was done in 4 patients. The histology was Group III in 3 cases and Group II in 1 case. ERCP findings showed tumor shadow at the end part of common bile duct in 2 cases, common bile duct stone in 1 case and no abnormality in the remaining 2 cases. No abnormal pancreatgram was found in any patient. Four cases were treated surgically ; pancreatoduodenectomy in 1 case and excision of the papilla Vater in 3 cases. Surgical intervention was not done in 1 patient for his associated disease. As the correct diagnosis of the tumor of papilla Vater is sometimes difficult even on biopsy for benign or malignant character, ERCP should be considered for correct diagnosis and therapy.
