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LOCAL RESECTION OF AMPULLARY NEUROENDOCRINE TUMOR WITH HIGH RISK FACTOR (FACTOR VII DEFICIENCY)-case report

RAMESH N NATARAJAN

Abstract


ABSTRACT Ampullary neuroendocrine
tumors are extremely rare tumors with an
incidence of less than 0.3 of gastrointestinal
carcinoids and less than 2 of all tumors
of ampullary region. Ampullary neuroendocrine
tumors can present with
jaundice, or nonspecific abdominal discomfort
or gastrointestinal bleeding. Endoscopic
biopsy is done for histopathological
examination and to analyze
the tumor markers in the tissue like Chromogranin
A and Neuron specific
enolase.Pancreaticoduodenectomy is
often recommended as treatment of
choice for tumor of any size with no distant
spread.However ,less invasive procedures
like local excision and endoscopic
resection have also been successfully
attempted especially for ampullary
neuroendocrine tumor less than 2
cm size or in high risk surgical candidates.
Our patient had factor VII deficiency
and A Negative blood group.


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