Question 48 (part 2) · LEK · Bile duct and gallbladder cancer

Which statement is true about Vater papilla carcinoma?

  1. A. it always causes permanent jaundice.
  2. B. the manifestations include pain, anaemia, vomiting and weight loss.
  3. C. the prognosis is poorer than in the case of cholangiocarcinoma.
  4. D. the diagnosis is not based on the endoscopic examination of the duodenum with a biopsy of the tumour, but on endoscopic ultrasonography.
  5. E. surgical treatment involves only palliative procedures – a bypass or a stent placement.
Hint

Think about where the tumour sits: it can bleed into and obstruct the duodenum, and a duodenoscope can see it directly.

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