Villous tumors of the ampulla of Vater: local resection versus pancreatoduodenectomy.

@article{Gray1989VillousTO,
  title={Villous tumors of the ampulla of Vater: local resection versus pancreatoduodenectomy.},
  author={George Gray and William Browder},
  journal={Southern medical journal},
  year={1989},
  volume={82 7},
  pages={917-20}
}
Villous adenomas involving the ampulla of Vater are uncommon. In particular, malignant potential of villous tumors may be difficult to determine preoperatively. In such cases, the decision to perform a conservative local excision or the more radical pancreatoduodenectomy should be based on accurate histologic assessment and the possibility of obtaining adequate margins of resection. 

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