Bugra D, Alper A, Göksen Y, Emre A
Istanbul Medical Faculty, Department of General Surgery, Capa-Istanbul, Turkey.
Hepatogastroenterology. 1991 Feb;38(1):84-5.
Two patients with villous adenomas in the duodenum are described. These lesions have a predilection for the ampullary region, and tend to present with obstructive jaundice, especially if malignancy is present. The first patient, with a villous adenoma located at the ampulla of Vater, presented with jaundice and underwent pancreaticoduodenectomy at a second operation because of a high rate of false-negative biopsies. The second patient was admitted with partial mechanical obstruction symptoms and was treated by partial duodenectomy and antrectomy for a supraampullary villous adenoma, including in situ carcinoma.
本文描述了两名十二指肠绒毛状腺瘤患者。这些病变好发于壶腹区域，尤其在存在恶性病变时，往往会导致梗阻性黄疸。首例患者的绒毛状腺瘤位于 Vater 壶腹，出现黄疸症状，由于活检假阴性率高，在第二次手术时接受了胰十二指肠切除术。第二例患者因部分机械性梗阻症状入院，接受了十二指肠部分切除术和胃窦切除术，以治疗壶腹上绒毛状腺瘤，包括原位癌。
