一例壶腹腺瘤。

A case of adenoma of the ampulla of Vater.

作者信息

Satake S, Kawaraya N, Okada M, Kujime K, Yamamoto H, Yazumi S, Nishida Y

机构信息

Department of Surgery, National Hyogo Chuo Hospital, Ohara 1314, Sanda City 669-1515, Japan.

出版信息

Kobe J Med Sci. 2000 Apr;46(1-2):33-8.

PMID:11193502

Abstract

A case of adenoma of the ampulla of Vater is presented in a 48-year-old man who was admitted with epigastric pain. Gastroendoscopy revealed a sessile tumor about 3 cm in diameter at the ampulla of Vater, and the pathological diagnosis of a biopsy specimen was adenoma with moderate atypia. Because of the possibility of a malignant component, pylorus-preserving pancreatoduodenectomy was performed to avoid local recurrence. The final pathological diagnosis was adenoma with severe atypia.

摘要

本文报告一例48岁男性的 Vater 壶腹腺瘤病例，该患者因上腹部疼痛入院。胃镜检查发现 Vater 壶腹有一个直径约3 cm 的广基肿瘤，活检标本的病理诊断为中度异型性腺瘤。由于存在恶性成分的可能性，为避免局部复发，实施了保留幽门的胰十二指肠切除术。最终病理诊断为重度异型性腺瘤。