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Tubulovillous adenoma of the duodenal papilla: radiological-endoscopic and anatomopathological correlation in the surgical proposal.

Daniel Alvarenga FernandesYuri Longatto BoteonAmanda Pinter Carvalheiro da Silva BoteonRachid Marwan Pinheiro SousaDaniel Lahan MartinsThiago José PenachimRicardo Hoelz de Oliveira BarrosRita de Cássia Perina MartinsLarissa Bastos Eloy da CostaEverton CazzoMartinho Antônio GesticÉlinton Adami ChaimNelson Marcio Gomes Caserta
Published in: Revista da Associacao Medica Brasileira (1992) (2020)
Tubulovillous adenomas of the duodenal ampulla are rare neoplasms. The present report describes a case with radiological-endoscopic and pathological correlation in which the patient underwent duodenal pancreatectomy with good postoperative progression. With advanced imaging methods, especially magnetic resonance and endoscopic ultrasound, locoregional aspects and extraluminal, lymphovascular, and metastatic invasion have been increasingly discussed as contributors to therapeutic decision making. This progression improves lesion staging and is especially useful in selecting eligible candidates for endoscopic treatment.
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