%0 Journal Article
%T Adenocarcinoma de la ampolla de Vater. A prop¨®sito de un caso Vater's ampulla adenocarcinoma. A propos of a case
%A Ariel Jord¨¢n Alonso
%A Datiel Cruz M¨¦ndez
%A Ra¨²l Bello Delgado
%A Osvaldo Alejo Concepci¨®n
%J Revista M£¿£¿dica Electr£¿3nica
%D 2010
%I Centro Provincial de Informaci¨®n de Ciencias M¨¦dicas. Matanzas
%X El 99 % de los tumores malignos de la ampolla de Vater, son carcinomas. Resultan infrecuentes y de dif¨ªcil diagn¨®stico, ya que concurren en el ¨¢rea, las patolog¨ªas pancre¨¢ticas, del tercio distal del conducto biliar com¨²n, conducto pancre¨¢tico y mucosa duodenal adyacente. El t¨¦rmino carcinoma ampular no s¨®lo hace referencia a una ubicaci¨®n topogr¨¢fica, sino tambi¨¦n al origen histol¨®gico de los mismos, pues implica que deriva de la mucosa intestinal que tapiza dicha regi¨®n. Se comunica un caso diagnosticado en el Hospital Militar Docente Dr. Mario Mu oz Monroy, de Matanzas, que acudi¨® con un s¨ªndrome ict¨¦rico, y luego de realizada la colangiograf¨ªa retr¨®grada endosc¨®pica (CPRE) con toma de biopsia, ultrasonido y TAC abdominal, se pudo llegar al diagn¨®stico de adenocarcinoma mucoproductor de la ampolla de Vater. Fue sometido a cirug¨ªa radical con resultado exitoso. 99 % of the Vater's ampulla malignant tumours are carcinomas. They are infrequent and of difficult diagnosis, because there is a concurrence in the area of pancreatic diseases, of the distal third of the common bile duct, of the pancreatic duct and the adjacent duodenal mucosa diseases. The term ampullar carcinoma refers not only to a topographic location but also to their histological origin; because it implies that it derives from the intestinal mucosa that coats the region. We deal with a case diagnosed at the Teaching Military Hospital Dr. Mario Mu oz Monroy, of Matanzas, assisting the hospital with an icteric syndrome. After making an endoscopic retrograde cholangiography with biopsy, ultrasound and abdominal tomography, we arrived to the diagnosis of a Vater's ampulla mucoproductor adenocarcinoma. The patient received a radical surgery with successful results.
%K NEOPLASMAS DEL CONDUCTO BILIAR COM¨²N
%K NEOPLASMAS DEL CONDUCTO BILIAR COM¨²N
%K NEOPLASMAS DEL CONDUCTO BILIAR COM¨²N
%K NEOPLASMAS DEL CONDUCTO BILIAR COM¨²N
%K NEOPLASMAS DEL CONDUCTO BILIAR COM¨²N
%K COLANGIOGRAF¨ªA
%K TOMOGRAF¨ªA COMPUTARIZADA POR RAYOS X
%K LAPAROTOM¨ªA
%K INFORMES DE CASOS
%K HUMANOS
%K MEDIANA EDAD
%K MASCULINO
%K COMMON BILE DUCT NEOPLASMS
%K COMMON BILE DUCT NEOPLASMS
%K COMMON BILE DUCT NEOPLASMS
%K COMMON BILE DUCT NEOPLASMS
%K COMMON BILE DUCT NEOPLASMS
%K CHOLANGIOGRAPHY
%K TOMOGRAPHY
%K X-RAY COMPUTED
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242010000500011