Arnaud J P, Miclo S, Doffoel M, Adloff M
J Chir (Paris). 1977;114(6):461-70.
Villous tumors of the duodenum are rare, but treatment may be problematic because of their association with invasive adenocarcinoma. One case of villous tumor of the duodenum is described and 44 others reported cases are reviewed. Diagnosis may be made by radiographic barium contrast evaluation of the duodenum, especially with the addition of air contrast hypotonic studies and by fibro-optic endoscopy with biopsies. 32 p. cent of villous tumors of the duodenum are associated with adenocarcinoma. Local excision is the treatment of choice for benign lesions. Duodenectomy or pancreatico-duodenectomy are recommended for tumors which include invasive carcinoma.
十二指肠绒毛状肿瘤较为罕见，但由于其与浸润性腺癌相关，治疗可能存在问题。本文描述了1例十二指肠绒毛状肿瘤病例，并对其他44例报告病例进行了回顾。十二指肠的诊断可通过X线钡剂造影评估，特别是加用空气造影低张造影检查以及通过纤维内镜活检来进行。32%的十二指肠绒毛状肿瘤与腺癌相关。对于良性病变，局部切除是首选治疗方法。对于包含浸润性癌的肿瘤，建议行十二指肠切除术或胰十二指肠切除术。
