Choctaw W T, Burbige E J, McCandless C M
Am Surg. 1980 Nov;46(11):640-3.
Villous adenomas of the upper gastrointestinal tract, although rare, are difficult to diagnose and treat because of their location, invasiveness, and association with adenocarcinoma. Two patients with duodenal villous adenoma and upper abdominal pain as the presenting symptoms are described. Endoscopy is important for early diagnosis. The recommended treatment is simple excision with biopsy, or pancreaticoduodenectomy if adenocarcinoma is present.
上消化道绒毛状腺瘤虽然罕见，但由于其位置、侵袭性以及与腺癌的关联，诊断和治疗都很困难。本文描述了两名以十二指肠绒毛状腺瘤和上腹部疼痛为首发症状的患者。内镜检查对早期诊断很重要。推荐的治疗方法是单纯切除并活检，若存在腺癌则行胰十二指肠切除术。
