Fishbein T, Carroll M, Beazley R M
Boston University Department of Surgery, University Hospital, MA 02118.
J Surg Oncol. 1995 Jan;58(1):70-3. doi: 10.1002/jso.2930580114.
Two cases of duodenal leiomyosarcoma were encountered, both of which appeared benign by gross and histologic criteria. Both patients suffered recurrences with poor outcomes. We reviewed the literature and found four other such cases and examined the outcomes in the world literature with respect to tumor size and extent of surgical resection. Large size, limited resections, and local recurrence were associated with poor outcomes. A 6% rate of lymphatic metastases was found, and the bearing this has on the extent of resection is discussed.
遇到两例十二指肠平滑肌肉瘤，根据大体和组织学标准，这两例看起来均为良性。两名患者均复发且预后不佳。我们查阅了文献，发现了另外四例此类病例，并研究了世界文献中关于肿瘤大小和手术切除范围的预后情况。肿瘤体积大、切除范围有限和局部复发与预后不良相关。发现有6%的淋巴转移率，并讨论了其对切除范围的影响。
