2008
DOI: 10.1245/s10434-008-9886-1
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Survival After Resection of Ampullary Carcinoma: A National Population-Based Study

Abstract: This is the largest population-based analysis of ampullary carcinoma. Resection rates and survival at the national level are lower, in general, compared with cancer center reports, which may have implications for regionalizing these procedures. Many patients surviving at least 5 years seem to be cured by surgical resection.

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Cited by 118 publications
(89 citation statements)
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“…Published 5-year overall survival (OS) rates for ampullary carcinoma range from 38% to 68% [1][2][3][4][5][6][7] . There are less published data available for AC than for PC to assist with decisions regarding adjuvant therapy.…”
Section: Introductionmentioning
confidence: 99%
“…Published 5-year overall survival (OS) rates for ampullary carcinoma range from 38% to 68% [1][2][3][4][5][6][7] . There are less published data available for AC than for PC to assist with decisions regarding adjuvant therapy.…”
Section: Introductionmentioning
confidence: 99%
“…1 In a national population-based study from the Surveillance, Epidemiology and End Results national cancer registry of the United States, the 5-year cancer-specific survival rate was 47.3%. 1 Favorable factors include resection, negative lymph node status, the presence of well-differentiated tumors, small tumor size, negative resection margin and absence of intraoperative transfusion.…”
Section: Introductionmentioning
confidence: 99%
“…1 In a national population-based study from the Surveillance, Epidemiology and End Results national cancer registry of the United States, the 5-year cancer-specific survival rate was 47.3%. 1 Favorable factors include resection, negative lymph node status, the presence of well-differentiated tumors, small tumor size, negative resection margin and absence of intraoperative transfusion. 2,3 In our previous study, pancreatic invasion and tumor size were predictors for local recurrence, while lymph node metastasis Patients with ampullary cancer are treated as for other periampullary malignancies without pathophysiological or carcinogenetic evidence.…”
Section: Introductionmentioning
confidence: 99%
“…Nodal involvement is the most important independent prognostic factor in patients with adenocarcinoma of the papilla [15][16][17][18][19][20][21] , followed by the depth of tumor infiltration [15][16][17]22 , negative margins 16,23 , histological grade 22 and the need for blood transfusion 18,22 . O' Connell et al 24 described an overall survival for patients with positive and negative lymph nodes of 21.9% and 54.1%, respectively. Recently, Sakata et al 25 examined the impact of nodal disease on survival of 62 patients with adenocarcinoma of the papilla, finding an overall survival at five years of 89% in cases without lymph node involvement, 48% in cases of involvement of one to three lymph nodes and 0% in cases of metastasis to four or more lymph nodes.…”
Section: Results Results Results Resultsmentioning
confidence: 99%