Lian PL, et al. – The physicians assessed the factors that influence long–term outcomes of duodenal papilla carcinoma (DPC) after standard pancreaticoduodenectomy (SPD). The serum levels of CA19–9 and CEA were closely correlated for patients with DPC and played an important role in poor survival. Also, increased serum levels of total bilirubin and lymph node metastases were correlated with a poor prognosis. In the evaluation of patients with DPC after SPD, the senior grade of infiltration depth and the TNM stage could serve as independent prognosis indexes.