Kim Hyung-Keun, Lo Simon K
Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Uijeongbu St. Mary's Hospital, Guemo-dong, Uijeongbu, Republic of Korea.
Gastrointest Endosc Clin N Am. 2013 Apr;23(2):347-83. doi: 10.1016/j.giec.2013.01.003.
Adenoma and adenocarcinoma are the most common ampullary lesions. Advances in diagnostic modalities including endoscopic ultrasonography and intraductal ultrasonography have provided useful information that aids in diagnosing and managing ampullary lesions. Endoscopic papillectomy can be a curative therapy for localized ampullary adenoma and have a role in the diagnosis of indeterminate ampullary lesions that may contain a hidden malignancy. However, the consensus on how and when to use endoscopic papillectomy has not been fully established. This article reviews the approach to the patient with benign or malignant ampullary lesion.
腺瘤和腺癌是最常见的壶腹病变。包括内镜超声和导管内超声在内的诊断方式的进展，为壶腹病变的诊断和管理提供了有用信息。内镜乳头切除术可作为局限性壶腹腺瘤的一种治愈性疗法，并且在诊断可能隐藏恶性肿瘤的不确定壶腹病变中发挥作用。然而，关于如何以及何时使用内镜乳头切除术的共识尚未完全确立。本文综述了对良性或恶性壶腹病变患者的治疗方法。
