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. 2023 May 12;8(7):277-282.
doi: 10.1016/j.vgie.2023.03.002. eCollection 2023 Jul.

Intra-ampullary papillary-tubular neoplasm

Sooraj Tejaswi  1 , Mili Parikh  2 , Ghaneh Fananapazir  3 , Kristin Olson  4 , Dorina Gui  4
Affiliations

Intra-ampullary papillary-tubular neoplasm

Sooraj Tejaswi et al. VideoGIE. .

Abstract

Video 1Cholangioscopic examination of the ampullary channel and extrahepatic bile duct.

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Figures

Figure 1
Figure 1
Illustration of the different types of ampullary tumors.
Figure 2
Figure 2
MRI showing filing defects in the distal common bile duct and ampulla.
Figure 3
Figure 3
Prominent ampulla.
Figure 4
Figure 4
Ampullary mass noted on balloon sweeps.
Figure 5
Figure 5
Cholangioscopic view of the distal common bile duct: papillary growths, stones, and mucin.
Figure 6
Figure 6
Histopathology of distal common-bile-duct papillary growths showing papillary architecture (H&E, orig. mag. ×10).
Figure 7
Figure 7
Histopathology of ampullary biopsies showing high-grade dysplasia and intramucosal carcinoma (H&E, orig. mag. ×16).
Figure 8
Figure 8
EUS view showing tumor extension into the adjacent pancreatic duct.
Figure 9
Figure 9
Histopathology of Whipple resection.
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References

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