A CASE OF THE CANCER IN ADENOMA OF PAPILLA OFVATER DIAGNOSED PREOPRATIVELY AS AN ADENOMA RESECTED ENDOSCOPICALLY WITH CLINICAL REVIEW OF42 CASES PERFORMED PAPILLECTOMY

Abstract

The case was sixty-six man Endoscopic findings of the duodenum showed elevatedtumor with granular surface in the area of the papilla of Vater. Specimen by the biopsyfrom the tumor revealed adenoma with severe atypia. ERCP showed no abnormal findingsin the pancreatobiliary system. EUS and IDUS revealed no invasion to the pancreas, nospread to the bile duct and main pancreatic duct. Vie resected endoscopically the tumorof papilla of eater under the diagnosis of the adenoma. The pathological findings wasdiagnosed as the cancer in the tubullovillous adenoma with severe atypia. Acute pancreatitis was developed as a complication.