Moreira V F, San Román A L, Meroño E, Arribas R, Martín de Argila C, Sampedro J, Graus J
Servicio de Gastroenterología, Hospital Ramón y Cajal, Madrid.
Rev Esp Enferm Dig. 1991 Mar;79(3):181-5.
In a series of 23 ampullary carcinomas, confirmed by the pathological examination of the duodenopancreatectomy specimens, 17 were biopsied during the previous ERCP examination. Biopsies were diagnostic of carcinoma in 12 (70.5%). Among 11 exophytic tumours biopsy was positive in 8 (72.7%) while in 6 tumours growing inside the papilla biopsies were positive in 4 (66.6%) (NS). It is concluded that endoscopic biopsy may be diagnostic in two-thirds of ampullary carcinomas.
在一系列经十二指肠胰腺切除术标本病理检查确诊的23例壶腹癌中，17例在先前的内镜逆行胰胆管造影（ERCP）检查期间接受了活检。活检确诊为癌的有12例（70.5%）。在11例息肉样肿瘤中，活检阳性的有8例（72.7%），而在6例向乳头内生长的肿瘤中，活检阳性的有4例（66.6%）（无显著性差异）。得出的结论是，内镜活检对三分之二的壶腹癌可能具有诊断价值。
