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==
=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

  • AKA tumours of the ampulla of Vater.
  • AKA tumours of the hepatopancreatic ampulla.

Ampullary adenoma

General

Microscopic

Features:

  • +/-Paneth cells - may be prominent.[2]

Ampullary carcinoma

General

Microscopic

Features:

  • Similar to adenocarcinoma in colon.

Sign out

  • Separate CAP protocol.

See also

References

  1. 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.
  2. 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.
  3. Tran, TC.; Vitale, GC. (Dec 2004). "Ampullary tumors: endoscopic versus operative management.". Surg Innov 11 (4): 255-63. PMID 15756395.
  4. 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.