Titus A S, Baron T H, Listinsky C M, Vickers S M
Department of Surgery, University of Alabama at Birmingham 35294, USA.
Am Surg. 1997 Jun;63(6):512-5.
The indications for pancreaticoduodenectomy have continued to expand over the past 10 to 15 years. This is in large part due to improved diagnostic studies, endoscopic retrograde cholangiopancreaticogram and computed tomography, and decreases in hospital perioperative morbidity and mortality. One third of breast cancer patients will develop metastatic disease usually to the liver, lung, or bone (World J Surg 1994;18:98-111). However, the presentation of painless jaundice due to a single metastatic lesion to the distal common bile duct from ductal adenocarcinoma of the breast is extremely rare. In this case report and review of the literature, we discuss the indications and emerging evidence that pancreaticoduodenectomies can now be performed for localized metastatic disease.
在过去10到15年里，胰十二指肠切除术的适应证持续扩大。这在很大程度上归因于诊断研究的改进，如内镜逆行胰胆管造影术和计算机断层扫描，以及医院围手术期发病率和死亡率的降低。三分之一的乳腺癌患者会发生转移性疾病，通常转移至肝脏、肺或骨（《世界外科杂志》1994年；18:98 - 111）。然而，乳腺导管腺癌单个转移灶至胆总管远端导致无痛性黄疸的情况极为罕见。在本病例报告及文献回顾中，我们讨论了胰十二指肠切除术可用于局限性转移性疾病的适应证及新出现的证据。
