Tubular adenoma of the main pancreatic duct.
Tubular adenoma of the main pancreatic duct.
复制标题
主胰管的管状腺瘤。
DOI：
10.1001/archsurg.1992.01420100120022
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发表时间：
1992
影响因子：
--
通讯作者：
W. J. Lennington
中科院分区：
文献类型：
--
作者：
H. Shahinian;M. Sciadini;D. J. Springer;V. Reynolds;W. J. Lennington
我们报告一例管状腺瘤的导管与局灶性绒毛变化。据我们所知，这是第13例报告这种不常见的肿瘤和第一个与主要管状组织学模式。患者出现腹痛和腹泻，内镜逆行胰胆管造影发现胰头有肿块，经内镜超声证实。本文对12例病例的临床及病理特点进行回顾性分析。术中检查未能排除腺癌，除了肿瘤局部解剖关系带来的困难外，支持广泛手术切除作为首选手术解决方案。
We report a case of tubular adenoma of the duct of Wirsung with focal villous changes. To our knowledge, this is the 13th reported case of this uncommon neoplasm and the first with a primarily tubular histologic pattern. The patient presented with abdominal pain and diarrhea and was found on endoscopic retrograde cholangiopancreaticography to have a mass in the head of the pancreas, which was confirmed by endoscopic ultrasound. Clinical and pathological features of the 12 previously reported cases are reviewed. Intraoperative testing failed to rule out adenocarcinoma which, in addition to difficulties presented by local anatomic relationships of the tumor, supports wide surgical resection as the preferred surgical solution.