Difference between revisions of "Ampulla of Vater"
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The '''Ampulla of Vater''', also '''hepatopancreatic ampulla, is found in the [[duodenum]]. | The '''Ampulla of Vater''', also '''hepatopancreatic ampulla, is found in the [[duodenum]]. | ||
=Normal histology= | |||
Features:<ref>{{Ref Sternberg5|1639}}</ref> | |||
*+/-Pancreatic heterotopia - common. | |||
*+/-Gastric heterotopia - not common. | |||
=Ampullary tumours= | |||
*[[AKA]] ''tumours of the ampulla of Vater''. | *[[AKA]] ''tumours of the ampulla of Vater''. | ||
*[[AKA]] ''tumours of the hepatopancreatic ampulla''. | *[[AKA]] ''tumours of the hepatopancreatic ampulla''. | ||
==Ampullary adenoma== | |||
===General=== | |||
*Uncommon. | |||
*May be associated with [[familial adenomatous polyposis]] (FAP). | |||
===Microscopic=== | |||
Features: | |||
*+/-Paneth cells - may be prominent.<ref>{{Ref Sternberg5|1640}}</ref> | |||
==Ampullary carcinoma== | |||
===General=== | ===General=== | ||
*Uncommon. | *Uncommon. | ||
*Textbook association: [[familial adenomatous polyposis]].<ref name=pmid15756395>{{Cite journal | last1 = Tran | first1 = TC. | last2 = Vitale | first2 = GC. | title = Ampullary tumors: endoscopic versus operative management. | journal = Surg Innov | volume = 11 | issue = 4 | pages = 255-63 | month = Dec | year = 2004 | doi = | PMID = 15756395 }}</ref><ref name=pmid9834381>{{Cite journal | last1 = Soravia | first1 = C. | last2 = Berk | first2 = T. | last3 = Haber | first3 = G. | last4 = Cohen | first4 = Z. | last5 = Gallinger | first5 = S. | title = Management of advanced duodenal polyposis in familial adenomatous polyposis. | journal = J Gastrointest Surg | volume = 1 | issue = 5 | pages = 474-8 | month = | year = | doi = | PMID = 9834381 }}</ref> | *Textbook association: [[familial adenomatous polyposis]].<ref name=pmid15756395>{{Cite journal | last1 = Tran | first1 = TC. | last2 = Vitale | first2 = GC. | title = Ampullary tumors: endoscopic versus operative management. | journal = Surg Innov | volume = 11 | issue = 4 | pages = 255-63 | month = Dec | year = 2004 | doi = | PMID = 15756395 }}</ref><ref name=pmid9834381>{{Cite journal | last1 = Soravia | first1 = C. | last2 = Berk | first2 = T. | last3 = Haber | first3 = G. | last4 = Cohen | first4 = Z. | last5 = Gallinger | first5 = S. | title = Management of advanced duodenal polyposis in familial adenomatous polyposis. | journal = J Gastrointest Surg | volume = 1 | issue = 5 | pages = 474-8 | month = | year = | doi = | PMID = 9834381 }}</ref> | ||
===Microscopic=== | |||
Features: | |||
*Similar to adenocarcinoma in colon. | |||
===Sign out=== | |||
*Separate CAP protocol. | |||
==See also== | ==See also== | ||
Revision as of 00:58, 13 September 2012
The Ampulla of Vater, also hepatopancreatic ampulla, is found in the duodenum.
Normal histology
Features:[1]
- +/-Pancreatic heterotopia - common.
- +/-Gastric heterotopia - not common.
Ampullary tumours
Ampullary adenoma
General
- Uncommon.
- May be associated with familial adenomatous polyposis (FAP).
Microscopic
Features:
- +/-Paneth cells - may be prominent.[2]
Ampullary carcinoma
General
- Uncommon.
- Textbook association: familial adenomatous polyposis.[3][4]
Microscopic
Features:
- Similar to adenocarcinoma in colon.
Sign out
- Separate CAP protocol.
See also
References
- ↑ Mills, Stacey E; Carter, Darryl; Greenson, Joel K; Reuter, Victor E; Stoler, Mark H (2009). Sternberg's Diagnostic Surgical Pathology (5th ed.). Lippincott Williams & Wilkins. pp. 1639. ISBN 978-0781779425.
- ↑ Mills, Stacey E; Carter, Darryl; Greenson, Joel K; Reuter, Victor E; Stoler, Mark H (2009). Sternberg's Diagnostic Surgical Pathology (5th ed.). Lippincott Williams & Wilkins. pp. 1640. ISBN 978-0781779425.
- ↑ Tran, TC.; Vitale, GC. (Dec 2004). "Ampullary tumors: endoscopic versus operative management.". Surg Innov 11 (4): 255-63. PMID 15756395.
- ↑ Soravia, C.; Berk, T.; Haber, G.; Cohen, Z.; Gallinger, S.. "Management of advanced duodenal polyposis in familial adenomatous polyposis.". J Gastrointest Surg 1 (5): 474-8. PMID 9834381.