French intergroup guidelines provide recommendations for accurate diagnosis, treatment, and follow-up of ampullary tumors based on expert opinions and recent literature review. Emphasizing multidisciplinary approach, guidelines suggest endoscopic papillectomy or surgical papillectomy for adenoma, and pancreaticoduodenectomy for carcinoma. Adjuvant monochemotherapy or polychemotherapy is recommended for aggressive tumors. Long-term follow-up is crucial for 5 years. Guidelines aim to address challenges in managing these tumors and underscore the importance of individualized, team-based decision-making.
Practice Guideline by Hautefeuille V, Williet N (…) Gaujoux S et 18 al. in Dig Liver Dis
Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.