Perng C L, Lin H J, Wang K, Lai C R, Lee S D
Department of Medicine, Veterans General Hospital-Taipei, Taiwan, Republic of China.
J Clin Gastroenterol. 1995 Mar;20(2):168-71; discussion 71-2. doi: 10.1097/00004836-199503000-00023.
In a 70-year-old man with diarrhea and weight loss, upper gastrointestinal endoscopy showed a 0.4-cm nodular lesion at the anterior duodenal bulb with a fissure at the tip of the lesion. The histologic diagnosis of the biopsied specimen revealed a duodenal carcinoid confined to the submucosa. We used strip biopsy to resect the lesion. After resection, diarrhea subsided and weight was increased. Strip biopsy may be a safe and effective choice for management of a duodenal carcinoid if it is < 1 cm in size or confined to the submucosa, especially when mitoses are absent.
在一名患有腹泻和体重减轻的70岁男性患者中，上消化道内镜检查显示十二指肠球部前壁有一个0.4厘米的结节性病变，病变顶端有一条裂隙。活检标本的组织学诊断显示为局限于黏膜下层的十二指肠类癌。我们采用条状活检切除病变。切除术后，腹泻缓解，体重增加。如果十二指肠类癌大小<1厘米或局限于黏膜下层，尤其是不存在核分裂象时，条状活检可能是治疗十二指肠类癌的一种安全有效的选择。
