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Disease Information for Adenocarcinoma, ampulla of Vater

Clinical Manifestations
Signs & Symptoms: Abdominal Mass; Abdominal Pain; Abdominal tenderness; Anorexia Decreased appetite; Bowel Habit Change; Clay colored/Pale stool; Epigastric Pain; Epigastric recurrent pain attacks; Glove stool exam guaiac positive; Left Upper Quadrant Pain/Tenderness; Mass in RUQ; Right Upper Quadrant Pain/Tenderness; Silver stool; Stool color/appearance abnormal; Upper Abdominal Mass; Upper Abdominal Pain
: Cholestasis/Extrahepatic biliary obstruction; Choluria/Biliuria in Elderly; Choluria/Biluria/Bilirubin urine; Gallbladder colic syndrome; Gallbladder Mass; Gallbladder pain syndrome
: Dark urine
: Weight Loss
Typical Clinical Presentation: Presentation/Painless/jaundice
Disease Progression: Course/Chronic disorder; Course/Chronic only
Laboratory Tests
Abnormal Lab Findings (Non Measured): URINE Color Brown
Abnormal Lab Findings - Decreased: Hematocrit (Lab); Hemoglobin (Lab); MCHC (Lab); RBC/Red Blood Count (Lab)
Abnormal Lab Findings - Increased: Alpha Fetoprotein, serum (Lab); CA19-9 Carbohydrate/Glycoprotein Antigen (Lab); CEA/Carcinoembryonic antigen (Lab); Lipase (Lab)
: URINE Bilirubin
: STOOL Occult blood
Diagnostic Test Results
Pathology: PATH/Tissue CEA increased
Isotope Scan: Isotope/Tagged RBC/Bleeding scan abnormal
: HIDA Scan/Liver ducts abnormality; HIDA Scan/Obstructed/dilated common duct; Isotope/HIDA Scan Abnormal
CT Scan: CT Scan/Abdomen/Adenopathy porta hepatis/pancreas; CT/Enterography Abnormal; MRI/MRA Abomen Abnormal
: MRI-Cholodochopancreatic duct abnormality
X-RAY: Xray/Abdominal film abnormalities/ABD/KUB
: Xray/Gas in biliary tree/ABD
: Xray/Mass in pancreatic area/KUB
X-RAY With contrast: SBS/Abnormal Small Bowel Series; UGI/Gastroduodenal fistula
: ERCP/blocked common duct; ERCP/Blocked/encasement/scar pancreatic duct
: ERCP/Endoscopic abnormality
Ultrasound: Endoscopic Ultrasound/Abnormal; Ultrasound/Abdomen and pelvis abnormal
: Ultrasound/Dilated common duct/Upper abdomen; Ultrasound/Gallbladder abnormal
Angiography: Cholangiogram/hep/biliary tree dilated
Associated Diseases & Rule outs
Rule Outs: Anemia; Cholelithiasis; Pancreatitis, chronic/recurrent
Associated Disease & Complications: Adenocarcinoma, ampulla of Vater; Ascites; Bile duct obstruction; Biliary Abscesses; Cancer in Elderly; Cholangitis, ascending/acute; Cholestatic Jaundice Syndrome; Duodenal Stenosis; Extrahepatic biliary obstruction/Jaundice; Gastrointestinal bleeding; Obstructive jaundice syndrome; Pancreatitis, acute; Peritoneal Effusion
: Upper GI bleeding
: Hematobilia
Disease Mechanism & Classification
Class: CLASS/Ampulla of Vater disorder (ex); CLASS/Biliary tree involvement/disorder (ex); CLASS/Liver/gallbladder/ducts (category)
Pathophysiology: Pathophysiology/Extrinsic Bowel Obstruction
: Pathophysiology/Pancreatic duct obstruction/hypersecret
Process: PROCESS/Adenocarcinoma (ex).; PROCESS/Carcinoma (ex); PROCESS/Gastrointestinal malignancy/Cancer (ex); PROCESS/Malignancy/cancer (ex); PROCESS/Neoplastic (category)
: PROCESS/GI Tumors (all)
Treatment
Drug Therapy - Indication: SX/Laparotomy
Surgical Procedures or Treatments: SX/Surgery
Definition: Be the first to add a definition for Adenocarcinoma, ampulla of Vater
External Links Related to Adenocarcinoma, ampulla of Vater: Google; Wikipedia; Merck; Images; PubMed (National Library of Medicine); NGC (National Guideline Clearinghouse); Medscape (eMedicine); Harrison's Online (accessmedicine); NEJM (The New England Journal of Medicine)

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