Präoperative Diagnostik bei periampullären Adenokarzinomen

Ulrich Friedrich Wellner; Louisa Bolm; Miljana Vladimirov; Tobias Keck

doi:10.1007/s00104-021-01452-3

Präoperative Diagnostik bei periampullären Adenokarzinomen

Translated title of the contribution: Preoperative diagnostics in periampullary adenocarcinomas

Ulrich Friedrich Wellner, Louisa Bolm, Miljana Vladimirov, Tobias Keck

Department of Surgery

2 Citations (Scopus)

Abstract

BACKGROUND: Approximately 30-40% of pancreatoduodenectomies for adenocarcinomas result in nonpancreatic periampullary adenocarcinoma as the final diagnosis. Depending on the origin, a distinction is made between four different carcinomas with histomorphological subtypes.

OBJECTIVE: Carcinoma location and subtype are of prognostic and therapeutic relevance; however, the preoperative differentiation is often incorrect despite modern diagnostics.

MATERIAL AND METHODS: Overview of the current literature on the classification and preoperative diagnostics of periampullary adenocarcinomas.

RESULTS: A precise knowledge of the papillary anatomy is necessary for the correct classification of diagnostic findings. Current studies demonstrate diagnostically valuable information from the anamnesis, imaging and endoscopy.

CONCLUSION: In ca. 70-80% of cases a correct diagnosis of the type of periampullary adenocarcinoma is possible on the basis of interdisciplinary diagnostics. This potentially enables a correspondingly individualized treatment planning in the preoperative phase.

Translated title of the contribution	Preoperative diagnostics in periampullary adenocarcinomas
Original language	German
Journal	Chirurg
Volume	92
Issue number	9
Pages (from-to)	771-775
Number of pages	5
ISSN	0009-4722
DOIs	https://doi.org/10.1007/s00104-021-01452-3
Publication status	Published - 09.2021

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title = "Pr{\"a}operative Diagnostik bei periampull{\"a}ren Adenokarzinomen",

abstract = "BACKGROUND: Approximately 30-40\% of pancreatoduodenectomies for adenocarcinomas result in nonpancreatic periampullary adenocarcinoma as the final diagnosis. Depending on the origin, a distinction is made between four different carcinomas with histomorphological subtypes.OBJECTIVE: Carcinoma location and subtype are of prognostic and therapeutic relevance; however, the preoperative differentiation is often incorrect despite modern diagnostics.MATERIAL AND METHODS: Overview of the current literature on the classification and preoperative diagnostics of periampullary adenocarcinomas.RESULTS: A precise knowledge of the papillary anatomy is necessary for the correct classification of diagnostic findings. Current studies demonstrate diagnostically valuable information from the anamnesis, imaging and endoscopy.CONCLUSION: In ca. 70-80\% of cases a correct diagnosis of the type of periampullary adenocarcinoma is possible on the basis of interdisciplinary diagnostics. This potentially enables a correspondingly individualized treatment planning in the preoperative phase.",

author = "Wellner, \{Ulrich Friedrich\} and Louisa Bolm and Miljana Vladimirov and Tobias Keck",

note = "{\textcopyright} 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.",

year = "2021",

month = sep,

doi = "10.1007/s00104-021-01452-3",

language = "Deutsch",

volume = "92",

pages = "771--775",

journal = "Chirurg",

issn = "0009-4722",

publisher = "Springer Medizin",

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TY - JOUR

T1 - Präoperative Diagnostik bei periampullären Adenokarzinomen

AU - Wellner, Ulrich Friedrich

AU - Bolm, Louisa

AU - Vladimirov, Miljana

AU - Keck, Tobias

PY - 2021/9

Y1 - 2021/9

N2 - BACKGROUND: Approximately 30-40% of pancreatoduodenectomies for adenocarcinomas result in nonpancreatic periampullary adenocarcinoma as the final diagnosis. Depending on the origin, a distinction is made between four different carcinomas with histomorphological subtypes.OBJECTIVE: Carcinoma location and subtype are of prognostic and therapeutic relevance; however, the preoperative differentiation is often incorrect despite modern diagnostics.MATERIAL AND METHODS: Overview of the current literature on the classification and preoperative diagnostics of periampullary adenocarcinomas.RESULTS: A precise knowledge of the papillary anatomy is necessary for the correct classification of diagnostic findings. Current studies demonstrate diagnostically valuable information from the anamnesis, imaging and endoscopy.CONCLUSION: In ca. 70-80% of cases a correct diagnosis of the type of periampullary adenocarcinoma is possible on the basis of interdisciplinary diagnostics. This potentially enables a correspondingly individualized treatment planning in the preoperative phase.

AB - BACKGROUND: Approximately 30-40% of pancreatoduodenectomies for adenocarcinomas result in nonpancreatic periampullary adenocarcinoma as the final diagnosis. Depending on the origin, a distinction is made between four different carcinomas with histomorphological subtypes.OBJECTIVE: Carcinoma location and subtype are of prognostic and therapeutic relevance; however, the preoperative differentiation is often incorrect despite modern diagnostics.MATERIAL AND METHODS: Overview of the current literature on the classification and preoperative diagnostics of periampullary adenocarcinomas.RESULTS: A precise knowledge of the papillary anatomy is necessary for the correct classification of diagnostic findings. Current studies demonstrate diagnostically valuable information from the anamnesis, imaging and endoscopy.CONCLUSION: In ca. 70-80% of cases a correct diagnosis of the type of periampullary adenocarcinoma is possible on the basis of interdisciplinary diagnostics. This potentially enables a correspondingly individualized treatment planning in the preoperative phase.

U2 - 10.1007/s00104-021-01452-3

DO - 10.1007/s00104-021-01452-3

M3 - Übersichtsarbeiten

C2 - 34264368

SN - 0009-4722

VL - 92

SP - 771

EP - 775

JO - Chirurg

JF - Chirurg

IS - 9

ER -

Präoperative Diagnostik bei periampullären Adenokarzinomen

Abstract

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