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KMID : 1039620130030010081
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Korean Journal of Family Practice
2013 Volume.3 No. 1 p.81 ~ p.87
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A Case of Tubulovillous Adenoma of the Ampulla of Vater in Asymptomatic Adult
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Lee Seung-Hwa
Lee Duck-Joo
Kim Kwang-Min
Park Sat-Byul
Kim Bom-Taeck
Seo Sang-Wook
Park Young-Kyu
Lee Dong-Ryul
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Abstract
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Duodenal adenomas arising from the ampulla of Vater is characterized by uncommon lesion that are often asymptomatic. They have a high risk of malignant development, similar to the adenoma-to-carcinoma sequence that occurs elsewhere in the gastrointestinal tract. The traditional management of ampullary tumor is a surgical approach such as ancreaticoduodenectomy and ampullectomy. However, such surgical treatment may have a high rate of operative ortality, morbidity, and complications. In addition, it may lead to increased medical costs, surgical scars, and psychological distress. With the recent improvements in endoscopic devices and techniques, if ampullary tumor is diagnosed early, an endoscopic resection can be used as an alternative option. Thus, early detection of ampullary adenoma is of utmost importance. The authors report one case of tubulovillous adenoma of ampulla of Vater of the duodenum in an asymptomatic adult with review of several previous studies.
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KEYWORD
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Tubulovillous Adenoma, Ampulla of Vater, Endoscopy
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