LOCAL RESECTION OF AMPULLARY NEUROENDOCRINE TUMOR WITH HIGH RISK FACTOR (FACTOR VII DEFICIENCY)-case report

ABSTRACT Ampullary neuroendocrine tumors are extremely rare tumors with an incidence of less than 0.3 of gastrointestinal carcinoids and less than 2 of all tumors of ampullary region. Ampullary neuroendocrine tumors can present with jaundice, or nonspecific abdominal discomfort or gastrointestinal bleeding. Endoscopic biopsy is done for histopathological examination and to analyze the tumor markers in the tissue like Chromogranin A and Neuron specific enolase.Pancreaticoduodenectomy is often recommended as treatment of choice for tumor of any size with no distant spread.However ,less invasive procedures like local excision and endoscopic resection have also been successfully attempted especially for ampullary neuroendocrine tumor less than 2 cm size or in high risk surgical candidates.Our patient had factor VII deficiency and A Negative blood group.