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題 名 | Carcinoma in Adenoma of Ampulla of Vater: A Case Report=十二指腸壺腹良性腺瘤合併惡性腺瘤之病例報告 |
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作 者 | 賴世偉; 黃金財; 李昭宏; 陳禮平; | 書刊名 | 中國醫藥雜誌 |
卷 期 | 2:4 1997.12[民86.12] |
頁 次 | 頁238-243 |
分類號 | 416.243 |
關鍵詞 | 良性腺瘤合併惡性腺瘤; 十二指腸壺腹; 惠氏切除術; Carcinoma in adenoma; Ampulla of vater; Pancreaticoduodenectomy; |
語 文 | 英文(English) |
中文摘要 | 十二指腸壺腹良性腺瘤合併惡性腺瘤之病例十分罕見。本文報告一病例, 一位七十歲女性於術前經內視鏡與活體切片診斷為十二指腸壺腹良性腺瘤與慢性發炎合併急性膽管炎與阻塞性黃膽症,於腹腔探查術中因觸診而高度懷疑十二指腸壺腹惡性腺瘤,進而施行惠氏切除術。術後該病患復原良好並已順利出院。病理報告為十二指腸壺腹良性腺瘤合併局部惡性腺瘤。根據文獻記載,十二指腸壺腹惡性腺瘤可能源自先前就已存在之良性腺瘤。因此,即使術前經內視鏡與活體切片檢查為十二指腸壺腹良性腺瘤,仍然應密切追蹤或施行第二次活體切片檢查,以免遺漏惡性腺瘤之可能性。一旦確定為十二指腸壺腹惡性腺瘤時,即應考慮施行惠氏切除術,如果是良性腺瘤,則施行腺瘤切除術即可。 |
英文摘要 | Adenoma of the ampulla of Vater is rare, therefore adenocarcinoma in adenoma is extremely rare. A 70-year-old female suffered from intermittent fever and jaundice for one month. Abdominal sonography showed marked dilatation of the common bile duct and the intrahepatic duct associated with the gall-bladder stone. Computed tomograghy demonstrated a soft tissue mass at the medial aspect of the descending duodenum and dilatation of the pancreatic duct. Endoscopic examination revealed a protruding polypoid mass over the ampulla of Vater. Pancreaticoduodenectomy (Whipple's procedure) was performed because' of high suspicion of malignancy in this tumor. Pathologic diagnosis was tubulovillous adenoma with focal small carcinoma of the ampulla of Vater. We also discuss the diagnostic problems of the adenoma-carcinoma sequence and therapeutic options. |
本系統中英文摘要資訊取自各篇刊載內容。