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| | eMedicine - Papillary Tumors : Article by Nuri Ozden, MD |
 | | Tumors of the periampullary region are an unusual and heterogeneous group of neoplasms that include lesions of the major papilla, the ampulla of Vater (the flask-shaped terminal channel of the bile and pancreatic ducts), and the periampullary duodenum. |
 | | Metastatic tumors of the papilla are extremely unusual and may arise from a variety of primary lesions, including lymphomas, malignant melanomas, adenocarcinomas of the breast, and renal cell carcinomas. |
 | | The prognosis for patients with malignant tumors of the papilla depends on the extent of local tumor invasion and the presence or absence of vascular invasion, lymph node involvement, and distant metastases. |
| www.emedicine.com /med/topic3524.htm (4748 words) |
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