Lubowski D, de Carle D, Hunt D R
Aust N Z J Surg. 1985 Oct;55(5):433-6. doi: 10.1111/j.1445-2197.1985.tb00918.x.
Two cases of peri-ampullary villous adenomas involving the common bile duct are reported. The pathology of benign duodenal tumours is discussed, and the possibility of common bile duct involvement, albeit uncommon, is stressed. Obtaining an endoscopic histologic diagnosis is important in planning appropriate operative treatment. Although benign, these tumours should be removed; they are a cause of serious symptoms and have proven premalignant potential. Endoscopic removal is usually not possible. Endoscopy for dyspepsia should include examination of the second part of duodenum, to avoid overlooking duodenal tumours.
报告了两例累及胆总管的壶腹周围绒毛状腺瘤病例。讨论了十二指肠良性肿瘤的病理学，并强调了胆总管受累的可能性，尽管这种情况并不常见。在内镜下获得组织学诊断对于规划合适的手术治疗很重要。虽然这些肿瘤是良性的，但仍应予以切除；它们会引起严重症状，并且已证实具有恶变潜能。内镜下通常无法切除。因消化不良进行的内镜检查应包括十二指肠第二部的检查，以避免漏诊十二指肠肿瘤。
