壶腹肿瘤的治疗方法。

Therapeutic approach to tumors of the ampulla of Vater.

作者信息

Kobayashi Akihiko, Konishi Masaru, Nakagohri Toshio, Takahashi Shinichiro, Kinoshita Taira

机构信息

Surgery Division, National Cancer Center Hospital East, Kashiwa City, Chiba, Japan.

出版信息

Am J Surg. 2006 Aug;192(2):161-4. doi: 10.1016/j.amjsurg.2006.05.002.

DOI:10.1016/j.amjsurg.2006.05.002

PMID:16860623

Abstract

BACKGROUND/AIM: Indications for local resection for tumors of the ampulla of Vater have not been established. The present study evaluated suitable treatments for tumors of the papilla of Vater.

PATIENTS AND METHODS

Clinicopathological factors were reviewed for 53 patients with tumors of the ampulla of Vater treated between February 1993 and August 2003.

RESULTS

Of 53 patients, 41 were treated surgically. Local resection was performed in 7 of these 41 patients, with a histologically involved margin evident in 4 patients. Lymph node metastasis was identified in 20 patients who received radical resection, including 1 patient with pT1 cancer.

CONCLUSION

Given the presence of some positive surgical margins, local resection is indicated as a therapeutic approach to tumors of the papilla of Vater only for benign tumors or some malignant tumors that cannot undergo pancreaticoduodenectomy (PD).

摘要

背景/目的：关于 Vater 壶腹肿瘤局部切除术的适应证尚未确定。本研究评估了 Vater 乳头肿瘤的合适治疗方法。