Surgical strategy for carcinoma of the papilla of Vater on the basis of lymphatic spread and mode of recurrence

Surgery
M KayaharaI Miyazaki

Abstract

Nodal status is one of the most important prognostic factors for carcinoma of the papilla of Vater. The pattern of lymphatic spread and mode of recurrence were analyzed by determining the frequency of nodal involvement and antemortem and postmortem examination of patients with recurrent disease. From 1974 to 1994, 36 patients with carcinoma of papilla of Vater underwent pancreatectomy at the Kanazawa University Hospital. A precise evaluation of the nodal involvement was determined by means of careful pathologic review of the extended lymphadenectomy specimen. The mode of recurrence was determined by use of autopsy and radiographic examinations. Fifteen (42%) of 36 patients had nodal involvement. The lymph nodes with the highest metastatic rates were the inferior pancreaticoduodenal lymph nodes (number 13b) and the superior mesenteric lymph nodes (number 14) (13b, 31%; 14, 17%). There were no metastases in the perigastric lymph nodes. A significant relationship existed between the gross appearance of the primary tumor and nodal involvement (protruding, 22%; mixed type, 42%; ulcerative, 100%). The 5-year survival rates were 74% in the absence of nodal metastasis versus 31% with nodal metastasis. The 5-year survival rates for pati...Continue Reading

References

Mar 1, 1991·Archives of Surgery·J R MonsonD M Ilstrup
Sep 1, 1989·The Japanese Journal of Surgery·T NagakawaI Miyazaki
Jan 1, 1982·The Japanese Journal of Surgery·T NagakawaI Miyazaki
Mar 1, 1995·The British Journal of Surgery·A NakaoH Takagi

❮ Previous
Next ❯

Citations

Mar 19, 2005·World Journal of Surgery·Andrea Di GiorgioGiovanni Battista Doglietto
Dec 2, 2006·Journal of Hepato-biliary-pancreatic Surgery·Toshiyuki MoriyaAkira Fuse
Feb 16, 2008·Journal of Hepato-biliary-pancreatic Surgery·Satoshi KondoUNKNOWN Japan Society of Clinical Oncology
Oct 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Junji Furuse
May 1, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Calogero IaconoGiovanni Serio
Aug 31, 2001·ANZ Journal of Surgery·M NikfarjamC Christophi
Jun 30, 2004·The American Journal of Surgical Pathology·Hui ZhouHans-Peter Fischer
Jan 29, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S K P JohnJ B J Fozard
Dec 5, 2003·Annals of Surgical Oncology·Takeshi TodorokiHideto Takahashi
Oct 21, 2006·Annals of Surgical Oncology·Hui-Ping HsuPin-Wen Lin
Mar 29, 2008·Annals of Surgical Oncology·Jessica B O'ConnellO Joe Hines
Oct 3, 1999·The British Journal of Radiology·H KuboH Nawata
Jun 24, 1998·Annals of Surgery·C J YeoH A Pitt
Mar 15, 2011·World Journal of Surgery·Yoshiaki MurakamiTaijiro Sueda
Mar 19, 2014·Seminars in Radiation Oncology·Salma K Jabbour, David Mulvihill
Jun 26, 2007·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Hui-Ping HsuPin-Wen Lin
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Laurence ChichePhilippe Segol
Jan 27, 2009·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·G Morris-StiffD F Mirza
Sep 1, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Caroline S Verbeke, Krishna V Menon
Nov 14, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J SakataK Hatakeyama
Feb 28, 2007·Journal of Surgical Oncology·Joon Seong ParkByong Ro Kim
Apr 12, 2014·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Fritz KleinOlaf Guckelberger
Jul 28, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yosuke InoueYu Takahashi
Sep 1, 2005·Journal of Hepato-biliary-pancreatic Surgery·Chi-E KitamiKatsuyoshi Hatakeyama
Mar 9, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hongbeom KimSun-Whe Kim
Apr 21, 2007·Digestive Surgery·Shin IshiharaAkihiko Horiguchi
Jun 25, 2020·Journal of Hepato-biliary-pancreatic Sciences·Keita TashiroYoji Kishi
Jul 18, 2015·World Journal of Gastroenterology : WJG·Francesca PanzeriMassimo Falconi
May 2, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·H FriessM W Büchler
Jul 9, 2011·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S B ChoiS Y Choi
Nov 30, 2018·World Journal of Gastrointestinal Oncology·Antonio PeaClaudio Luchini
Nov 10, 2020·Annals of Surgical Treatment and Research·Chung Hyeun MaSong Cheol Kim
Apr 3, 2021·Surgery Today·Keiichi OkanoYasuyuki Suzuki
Jul 15, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Martin Schneider, Markus W Büchler

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.