Saiura Akio, Yamamoto Junji, Yamaguchi Toshiharu
Dept. of Surgery, Cancer Institute Hospital, 1-37-1 Kami-Ikebukuro, Toshima-ku, Tokyo 170-8455, Japan.
Gan To Kagaku Ryoho. 2004 Mar;31(3):327-30.
Primary duodenal carcinoma (PDC) is rare and generally considered to have a low resectability rate and dismal prognosis. PDCs as well as other carcinomas in the pancreatic head are treated by curative pancreaticoduodenectomy. In a selected patient, segmental resection or local resection of the duodenum is indicated. Early PDC can be treated by endoscopic resection. There is an increased risk in patients with familial adenomatous polyposis and adenomas in the duodenum.
原发性十二指肠癌(PDC)较为罕见,通常被认为可切除率低且预后不佳。PDC以及胰头的其他癌症均通过根治性胰十二指肠切除术进行治疗。对于选定的患者,可考虑行十二指肠节段性切除或局部切除。早期PDC可通过内镜切除进行治疗。家族性腺瘤性息肉病患者以及十二指肠存在腺瘤的患者风险会增加。