What is the role for adjuvant chemotherapy and/or radiation in ampullary carcinoma?  

Ampullary carcinoma is not in the NCCN guidelines. Please address not only the role for therapy but the optimal regimen (i.e. Gem based, vs mFOLFIRINOX for pancreatic subtype). Also please comment on the role for radiation.

Answer from: Medical Oncologist at Academic Institution
Radiation Oncologist at Munson Medical Center
Underrated theMednet comment, especially with that...
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