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November 1956

Carcinoma of the Ampulla of Vater: Case Report of Nine-Year Survival of an Elderly Woman

Author Affiliations

From The Department of Surgery, University of Colorado School of Medicine.

AMA Arch Surg. 1956;73(5):764-767. doi:10.1001/archsurg.1956.01280050032007

Since 1935, when Whipple, Parsons, and Mullins1 reported a radical two-stage pancreaticoduodenectomy for carcinoma of the ampulla of Vater, considerable attention has been focused on this procedure as a possible means of treatment for both ampullary and pancreatic tumors. The number of long-term survivals has been small, however, and, as Kaufman and Wilson2 point out, through 1955 only 21 cases of five-year survival following resections of ampullary carcinoma have been reported in the American literature. Part of the reason for this is the relative rarity of the lesion. In the years between 1920 and 1936, Lieber, Stewart, and Lund3 could report only 14 cases in 22,152 autopsies at the Philadelphia General Hospital. At the Cincinnati General Hospital

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