The clinical characteristics and the diagnosis and treatment of tumors of duodenal papilla
10.3760/cma.j.issn.0529-5815.2016.03.007
- VernacularTitle:十二指肠乳头肿瘤的临床特点及诊治分析
- Author:
Jian LU
1
;
Wenjie LU
;
Yulian WU
Author Information
1. 宁波市镇海龙赛医院
- Keywords:
Duodenal neoplasms;
Digestive system surgical procedures;
Prognosis
- From:
Chinese Journal of Surgery
2016;54(3):187-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical features,diagnosis,treatment and prognosis of duodenal papilla tumors.Methods The clinical data of 76 patients diagnosed as tumor of duodenal papilla for endoscopic or surgical treatment,in the Second Affiliated Hospital of Zhejiang University,School of Medicine since April 2004 to April 2015 were collected and analyzed retrospectively.There were 50 male and 26 female patients aging from 38 to 83 years with a median age of 62 years.All patients were diagnosed by ultrasound,CT or endoscopic retrograde cholangiopancreatography.All the 76 patients accepted surgical treatment,among which 61 cases accepted pancreaticoduodenectomy,6 cases accepted trans-duodenum papillae resection and reconstruction,5 cases accepted endoscopic duodenal papilla tumor resection and 4 cases accepted palliative operations.Kaplan-Meier method was used to analyze the survival rate.Results Among the 76 cases of patients,the pathological diagnosis included 10 cases of benign tumors,8 cases of precancerous lesions,58 cases of malignant tumor.Death cases were not caused by postoperative complications.Coincidence rate of preoperative biopsy and postoperative pathological diagnosis was 77.6％.Postoperative follow-up was 2 to 120 months,the results showed that the 1,3,5 year survival rates were 73.2％,51.8％,32.1％ for 53 patients with duodenal papillary carcinoma.Conclusions Duodenal papilla tumors had varied clinical manifestations,ultrasound,CT and endoscopic examination and ERCP can improve the diagnostic rate of duodenal papilla tumors.For benign tumors and early stage malignant tumors,local excision or endoscopic resection was safe and effective.For advanced malignancies,radical pancreaticoduodenectomy was essential.
