十二指肠绒毛状腺瘤
Duodenal villous adenomas.
作者信息
Brian J E, Herring G F, Stair J M
出版信息
J Surg Oncol. 1986 Nov;33(3):203-6. doi: 10.1002/jso.2930330312.
PMID:3773538
Abstract
Two cases of villous adenoma of the duodenum are presented. These rare tumors are best diagnosed with upper gastrointestinal radiographs and endoscopic biopsy. Malignant degeneration is more common in the second portion of the duodenum which makes excision more difficult. If no malignancy is found, sleeve resection is preferred. Tumors in the second portion of the duodenum should be treated with wide mucosal excision if carcinoma in situ is found and with pancreaticoduodenectomy if invasive cancer is present.
摘要
本文报告了2例十二指肠绒毛状腺瘤。这些罕见肿瘤最好通过上消化道造影和内镜活检来诊断。十二指肠第二部发生恶性变更为常见，这使得切除更加困难。如果未发现恶性病变，首选袖状切除术。十二指肠第二部的肿瘤，如果发现原位癌，应行广泛黏膜切除术；如果存在浸润性癌，则应行胰十二指肠切除术。
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