Second primary lesions in the biliary tree after successful resection of ampullary carcinoma

I. H. Nordback, R. H. Hruban, J. L. Cameron

Research output: Contribution to journalArticle


Two patients are described who had an adenocarcinoma at the site of the hepaticojejunostomy 5 and 15 years after pancreaticoduodenectomy for an ampullary adenocarcinoma. Both patients had symptoms and signs of biliary obstruction. Both tumors were identified by upper endoscopy and resected at laparotomy. In both patients the tumor was considered a new primary carcinoma rather than a recurrent or metastatic carcinoma. Evidence to support this was the finding of an intraepithelial component of the tumor in the resection specimens of both patients, the fact that the tumors were on the luminal side of the distal bile duct in both cases, lack of other evidence of recurrent or metastatic tumor, and the time interval between the pancreaticoduodenectomy and the development of the new tumor.

Original languageEnglish (US)
Pages (from-to)111-115
Number of pages5
Issue number1
StatePublished - Jan 1 1992


ASJC Scopus subject areas

  • Surgery

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