Modern and accurate diagnostics of pancreas
diseases, gall bladder and biliary ducts, without which it is impossible to
carry out proper treatment, is regarded as one of the most important objectives
in a modern gastroenterology. Three-dimensional hunter 4025 nls-imaging method
still has not found a wide spreading in gastroenterology. Mainly it is applied
for differential diagnostics of focal lesions.
In a group of patients with tumorous
affection of bilepancreaticoduodenal region organs, neoplasms of major duodenal
papilla are registered in 12% – 20% and comprise approximately 5% of all
gastrointestinal tract tumors. A tumor may grow from epithelium of a common bile
duct, pancreatic duct or mucous tunic of duodenum. Major duodenal papilla cancer
crows relatively slow and metastasizes rather late. Most often a tumor
represents an adenocarcinoma at microscope research. Location of a tumor at this
level promotes relatively early appearance of jaundice. At major duodenal
papilla cancer a jaundice is either of wave-form (without complete normalization
of bilirubin level), or intermittent (with increasing of bilirubin and
short-term period of decreasing to a normal level). Tumors of major duodenal
papilla ulcerate quite quickly. This fact promotes infiltration of an infection
from duodenum to biliary ducts and pancreatic ducts. Inflammatory component at
major duodenal papilla cancer leads to a serious diagnostic mistakes.
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