Lucas S, Berg P, Brucker P, Didelot F, Fery M, Matylla G, Stoppa R
Service de Chirurgie Générale et Digestive, C.H.U. Nord Amiens.
J Chir (Paris). 1990 May;127(5):262-70.
The authors report a new case of duodenal leiomyoblastoma. Since local anatomical factors were favorable, the tumor was removed by resecting the entire second portion of duodenum with reanastomosis of the remaining ends. This case can be added to the very small number of cases reported in the literature regarding leiomyoblastoma at this site in the gastrointestinal tract. Since diagnostic is difficult, and often made per-operatively following and acute complication, a precise topographical study of the region needs to be performed. It is only by this means that a completely safe operative procedure may be chosen and performed. From an anatomo-pathological viewpoint, several criteria exist to distinguish the potentially benign from the potentially malignant form. However, this remains to be confirmed given the controversial aspects of the subject. Study has mainly involved gastric localisations where a greater number of lesions have been found. At present, only time will show whether these tumors are benign or malignant.
作者报告了一例十二指肠平滑肌瘤病新病例。由于局部解剖因素有利，通过切除十二指肠的整个第二部分并将剩余两端重新吻合来切除肿瘤。该病例可补充到文献中报道的关于胃肠道该部位平滑肌瘤病的极少数病例中。由于诊断困难，且通常在急性并发症后手术中做出诊断，因此需要对该区域进行精确的局部解剖学研究。只有通过这种方式，才能选择并实施完全安全的手术程序。从解剖病理学角度来看，存在一些标准来区分潜在良性和潜在恶性形式。然而，鉴于该主题存在争议的方面，这仍有待证实。研究主要涉及胃部定位，在那里发现了更多的病变。目前，只有时间能表明这些肿瘤是良性还是恶性。
