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- W2332261211 abstract "In January 1989 a 72-year-old man underwent pancreatoduodenectomy with lymph node dissection (R2) for carcinoma of the Ampulla of Vater presenting with obstructive jaundice, when no macroscopic and histopathologic metastasis was detected in the lymph nodes surrounding the left renal vein. His-topathologically the carcinoma was of pat Acd, panc2, α3, n2, w0, and in Stage III. About one year later CA19-9 level increased again and abdominal CT, ultrasonography and angiography revealed swollen paraaortic lymph nodes. The patient was diagnosed as having a recurrence. Since no recurrence was detected in other organs, reoperation was carried out about 20 months after the first operation. During operation Imyph node metastasis was found in No. 16a2 (lateroaortic) and No. 16b 1 (interaorticocaval). Paraaortic lymph nodes including the metastatic lesions were dissected. After the reoperation CA19-9 level was normalized. The patient has been disease-free for 4 years and 9 months after the first operation. It is thought that the case is highly suggestive of the significance of paraaortic lymph node dissection in advanced carcinoma of the Ampulla of Vater." @default.
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- W2332261211 date "1994-01-01" @default.
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- W2332261211 title "A CASE OF CARCINOMA OF THE AMPULLA OF VATER WITH RECURRENT PARAAORTIC LYMPH NODE METASTASIS AFTER PANCREATODUODENECTOMY TREATED SUCCESSFULY WITH DISSECTION" @default.
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- W2332261211 doi "https://doi.org/10.3919/ringe1963.55.2053" @default.
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