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@johnstauffermd

I recommend a whipple if the next EMR finds HGD or the margin is still positive due to the risk of malignant degeneration. Duodenal cancer is very survivable if found and treated at this early stage but can lead to uncurable metastatic cancer if undertreated.

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Replies to "I recommend a whipple if the next EMR finds HGD or the margin is still positive..."

I assume the next EMR will find HGD as it wasn't previously removed. How long can surgery be put off? I keep getting different opinions