Benito C, Albiach M, González J, Muñoz M, Zozaya J M, Zornoza G
Departamento de Cirugía General y Digestiva, Clínica Universitaria de Navarra, Pamplona.
Rev Esp Enferm Dig. 1990 May;77(5):357-9.
A case of villous adenoma of the duodenum is presented; the wide implantation of the tumor imposed a cephalic duodenopancreatectomy. The endoscopic examination plays an important role in the diagnosis of these tumors, but it frequently; does not exclude the possibility of a malignant lesion, this fact renders difficult the choice of adequate treatment. We review the surgical approach of these tumors, which ranges from local resection to duodenopancreatectomy, depending on the pathological study and intraoperative findings.
本文报告一例十二指肠绒毛状腺瘤;肿瘤广泛浸润使得实施胰头十二指肠切除术成为必要。内镜检查在这些肿瘤的诊断中发挥着重要作用,但它常常无法排除恶性病变的可能性,这一事实使得选择恰当的治疗方法变得困难。我们回顾了这些肿瘤的手术治疗方法,其范围从局部切除到胰头十二指肠切除术,具体取决于病理研究和术中发现。