Yamashita H, Higashijima H, Fukushima K, Nagai E, Makino I, Okamoto S, Kuroki S, Ichimiya H, Chijiiwa K
Department of Surgery I, Kyushu University Faculty of Medicine, Fukuoka, Japan.
Eur J Surg Oncol. 1995 Aug;21(4):427-8. doi: 10.1016/s0748-7983(95)92846-4.
We report two cases of carcinoma of the ampulla of Vater synchronously associated with early gastric cancers. The gastric lesions were diagnosed pre-operatively in one patient and at the time of examination of the resected specimen following pancreatoduodenectomy in the other. Specific problems in the diagnosis and management of these multiple primary carcinomas are discussed. Careful evaluation of the stomach prior to the surgical treatment for ampullary carcinoma is recommended.
我们报告了两例壶腹癌与早期胃癌同步发生的病例。其中一例患者在术前诊断出胃部病变，另一例在胰十二指肠切除术后检查切除标本时诊断出胃部病变。本文讨论了这些多原发性癌在诊断和治疗方面的具体问题。建议在对壶腹癌进行手术治疗前对胃部进行仔细评估。
