Sudan N, Lafon J
Service d'Anatomie et Cytologie Pathologiques, Centre Hospitalier, Aix-en-Provence.
Gastroenterol Clin Biol. 1992;16(8-9):701-4.
We report the case of a 42 year-old man, with a history of alcohol and tobacco abuse, who was referred for suspicion of carcinoma of the head of pancreas. Pancreatoduodenectomy was performed. Histological study demonstrated obstructive benign adenomyoma of the distal common bile duct associated with villous papillomatosis of the pancreatic ducts and patchy lesions of chronic pancreatitis. Two years later, the patient was completely asymptomatic, but the risk of malignant transformation of villous papillomatosis requires periodic examination of the remaining pancreas and biliary tract.
我们报告了一例42岁男性患者的病例，该患者有酗酒和吸烟史，因疑似胰头癌前来就诊。实施了胰十二指肠切除术。组织学研究显示，远端胆总管存在梗阻性良性腺肌瘤，伴有胰管绒毛状乳头状瘤病以及慢性胰腺炎的斑片状病变。两年后，患者完全无症状，但绒毛状乳头状瘤病有恶变风险，需要定期检查剩余的胰腺和胆道。
