根据肿瘤浸润深度制定的T1期十二指肠或壶腹癌手术策略

Surgical Strategy for T1 Duodenal or Ampullary Carcinoma According to the Depth of Tumor Invasion.

作者信息

Kohga Atsushi, Yamamoto Yusuke, Sano Shusei, Sugiura Teiichi, Okamura Yukiyasu, Ito Takaaki, Ashida Ryo, Ishiwatari Hirotoshi, Matsubayashi Hiroyuki, Sasaki Keiko, Uesaka Katsuhiko

机构信息

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Shizuoka, Japan

出版信息

Anticancer Res. 2017 Sep;37(9):5277-5283. doi: 10.21873/anticanres.11953.

DOI:10.21873/anticanres.11953

Abstract

AIM

To investigate the utility of local resection (LR) for T1 duodenal carcinoma and T1 ampullary carcinoma.

PATIENTS AND METHODS

Between June 2002 and November 2014, a total of 64 patients with pathological T1 (pT1) ampullary carcinoma (25 patients) and pT1 duodenal carcinoma (39 patients) were treated. Of these, 33 patients underwent local resection (LR group), while the other 31 patients underwent pancreatoduodenectomy (PD group).

RESULTS

The LR group had 31 patients with pT1a and 2 patients with pT1b. PD group had 18 patients with pT1a and 13 patients with pT1b. One patient with pT1b duodenal carcinoma (20.0%) and one patient with pT1b ampullary carcinoma (10.0%) developed lymph node metastasis, while none of the patients with pT1a disease developed metastases.

CONCLUSION

LR may be considered in the patients preoperatively diagnosed with T1a duodenal carcinoma and T1a ampullary carcinoma.

摘要

目的

探讨局部切除术（LR）治疗T1期十二指肠癌和T1期壶腹癌的效用。

患者与方法

2002年6月至2014年11月，共治疗64例病理诊断为T1期（pT1）壶腹癌（25例）和pT1期十二指肠癌（39例）的患者。其中，33例患者接受局部切除术（LR组），另外31例患者接受胰十二指肠切除术（PD组）。

结果

LR组有31例pT1a患者和2例pT1b患者。PD组有18例pT1a患者和13例pT1b患者。1例pT1b期十二指肠癌患者（20.0%）和1例pT1b期壶腹癌患者（10.0%）发生淋巴结转移，而pT1a期疾病患者均未发生转移。

结论

对于术前诊断为T1a期十二指肠癌和T1a期壶腹癌的患者，可考虑行局部切除术。