Diagnosis and treatment of the duodenal papilla tumor
- VernacularTitle:十二指肠乳头肿瘤的诊断与治疗
- Author:
Weiliang YANG
;
Gang NIE
;
Gang ZHAO
;
- Publication Type:Journal Article
- Keywords:
DUODENAL NEOPLASMS/diag;
?DUODENAL NEOPLASMS/ther;
?VATER PAPILLA;
?ADENOCARCINOMA/diag;
?ADENOCARCINOMA/ther
- From:
Chinese Journal of General Surgery
1997;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the diagnosis and treatment of duodenal papilla tumor (DPT). Methods Analyses were made on the clinical data of 22 patients with DPT proved by operation and pathology from 1977 to 1999. Results There were 17 patients with duodenal papillary carcinoma, 5 with duodenal papilloma in this series. Discomfort of the upper abdomen (16 cases) and jaundice (22 cases) were the main symptoms. Barium meal examination, BUS, CT and ERCP were very useful in the diagnosis of DPT. In this series, 19 of 22 patients received pancreaticoduodenctomy, and 3 received local reseciton, the resection rate was 100%. 15 patients (88.2%) were followed up, the 5 years survival rate was 73.3%, 7 years survival rate was 46.7%. Conclusions Duodenoscope and ERCP are credible methods for diagnosis of this disease, resection is the main way of treatment.