Obata S, Araki K, Kimura K, Maeda K
Department of Gastroenterology, Kumamoto National Hospital, Japan.
Cancer Detect Prev. 1995;19(6):535-8.
A 67-year-old man was referred for investigation of an abdominal mass. Upper gastrointestinal endoscopy revealed a polypoid lesion with a central depression in the duodenum. CT scan demonstrated a cystic lesion anterior to the pancreas. Examination of a biopsy specimen of the duodenal lesion suggested it was a carcinoma. Strip biopsy was therefore performed, and histological examination revealed a tubular adenocarcinoma with invasion limited to the mucosa, indicating that the lesion was completely resected. Subsequent 24-month follow-up did not indicate recurrence of the cancer. Strip biopsy thus appears to be a safe and efficient procedure for the management of early duodenal cancer.
一名67岁男性因腹部肿块接受检查。上消化道内镜检查发现十二指肠有一个中央凹陷的息肉样病变。CT扫描显示胰腺前方有一个囊性病变。对十二指肠病变活检标本的检查提示为癌。因此进行了条状活检，组织学检查显示为管状腺癌，侵犯仅限于黏膜，表明病变已完全切除。随后24个月的随访未显示癌症复发。条状活检因此似乎是一种安全有效的早期十二指肠癌治疗方法。
