Tio T L, Mulder C J, Eggink W F
Academic Medical Center, Department of Gastroenterology, Amsterdam, The Netherlands.
Gastroenterology. 1992 Apr;102(4 Pt 1):1392-5.
A 52-year-old man with a pedunculated ampullary carcinoma was referred for endosonography. Endoscopic retrograde cholangiopancreatography was unsuccessful because of pedunculation of the papilla. Endosonography revealed a superficial hypoechoic tumor limited to the mucosa, which was compatible with a T1 carcinoma according to the new (1987) Union Internationale Contre le Cancer TNM classification of the polypoid tumor. No lymph node metastases were found, the staging being T1N0. Local tumor resection was performed. Lymph node metastases were not found at surgery. Histology of the resected specimen confirmed the findings at endosonography. Follow-up endoscopy and endosonography 18 months after surgery showed no evidence of tumor recurrence or lymphadenopathy.
一名52岁患有带蒂壶腹癌的男性被转诊接受内镜超声检查。由于乳头有蒂，内镜逆行胰胆管造影术未成功。内镜超声显示一个局限于黏膜的浅表低回声肿瘤，根据新的（1987年）国际抗癌联盟（Union Internationale Contre le Cancer）对息肉样肿瘤的TNM分类，这与T1期癌相符。未发现淋巴结转移，分期为T1N0。进行了局部肿瘤切除。手术中未发现淋巴结转移。切除标本的组织学检查证实了内镜超声的检查结果。术后18个月的随访内镜检查和内镜超声检查未发现肿瘤复发或淋巴结病的迹象。
