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Pancreatic and Periampullar Carcinoma

  • Chapter
Surgical Oncology

Abstract

It is useful to differentiate malignant tumours of the exocrine pancreas from periampullar carcinomas, even though the lesions often cannot be classified until surgery and in 10% of cases, identification is possible only on examination of the surgical specimen (Longmire and Traverso 1981; Warren et al. 1975). The difference lies mainly in the prognosis. Periampullar carcinomas cause obstructive jaundice at an early stage and are frequently only a few millimetres in diameter at the time of diagnosis. Lymphogenous and hematogenous metastases are less common and, with adequate techniques, the tumours can thus be resected curatively in about 70%–90% of cases.

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Authors
  1. W. Hohenberger
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  2. H. Zirngibl
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  3. F. P. Gall
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Editors and Affiliations

  1. Istituto Nazionale per lo Studio e la Cura dei Tumori, Via Venezian, 1, 20133, Milano, Italy

    Umberto Veronesi (Direttore Generale) (Direttore Generale)

  2. Department of Surgery, Haukeland University Hospital, University of Bergen, 5021, Bergen, Norway

    Bo Arnesjø

  3. Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, UK

    Ian Burn

  4. Department of Urology, A.Z. Middelheim, Vrue Universiteit Brussel, Lindendreef 1, 2020, Antwerpen, Belgium

    Louis Denis

  5. Cattedra di Chirurgia Generale, II facolta’, Università di Napoli, Via Pansini, 5, 80131, Napoli, Italy

    Francesco Mazzeo

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Hohenberger, W., Zirngibl, H., Gall, F.P. (1989). Pancreatic and Periampullar Carcinoma. In: Veronesi, U., Arnesjø, B., Burn, I., Denis, L., Mazzeo, F. (eds) Surgical Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72646-0_52

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