Prognostic factors and clinicopathological characteristics of carcinoma of ampulla vateri


Pamukcuoglu M., Oksuzoglu B., Abali H., Akoglu M., Atalay F., Budakoglu B., ...More

International Surgery, vol.93, no.4, pp.214-219, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 93 Issue: 4
  • Publication Date: 2008
  • Title of Journal : International Surgery
  • Page Numbers: pp.214-219
  • Keywords: Carcinoma of ampulla Vateri, Adjuvant therapy, Clinicopathological characteristics of carcinoma of ampulla Vateri, ADJUVANT THERAPY, PERIAMPULLARY AREA, RADICAL RESECTION, PAPILLA, PANCREATICODUODENECTOMY, SURVIVAL, PANCREAS, CANCER, TUMOR, RADIOTHERAPY

Abstract

The aim of this study was to describe the clinicopathological characteristics and prognostic factors of carcinoma of ampulla Vateri. The medical records of 32 patients (24 men, 8 women) were evaluated. Median age was 59 years (range, 36-80 years). The performance status at the time of admission of (European Cooperative Oncology Group) 18 patients (56.3%) were ECOG-1; 8 patients (25.0%) were ECOG-2. Fifteen patients had early stage, 15 patients had locally advanced stage. Twenty-eight of 32 patients underwent curative surgery. Eleven, nine, and four patients had high-, moderate-, and low-grade histology, respectively. Fourteen patients received adjuvant treatment. Ten out of 14 patients were treated with chemotherapy. ECOG performance status (P = 0.06), stage (P = 0.05), perineural invasion (P = 0.01), tumor grade (P = 0.01), and treatment with chemotherapy, chemoradiotherapy, or only radiotherapy (P = 0.001) had a statistically significant impact on overall survival, whereas only tumor histopathology (P < 0.001) was shown to have a statistically significant effect on disease-free survival. Carcinoma of ampulla Vateri is a rare gastrointes tinal tumor. Prospective trials with larger number of patients are needed to determine the prognostic factors to help select patients for adjuvant treatment.