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首页> 外文期刊>Journal of Gastrointestinal Surgery >Carcinoma of the papilla of vater: Are endoscopic appearance and endoscopic biopsy discordant?
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Carcinoma of the papilla of vater: Are endoscopic appearance and endoscopic biopsy discordant?

机译：vaper乳头状癌：内镜外观和内镜活检不一致吗？

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摘要

Carcinoma of the papilla of Vater is classified as periampullary cancer representing 5% of all gastrointestinal tract malignancies. Early and accurate diagnosis is important for those patients with a tumor of the papilla, as the prognosis is more favorable than in other periampullary neoplasms. Endoscopically obtained biopsies from suspicious papillae can detect an early tumor, although even for skilled pathologists it is often difficult to differentiate carcinomas from noninvasive lesions on the basis of forceps biopsies. The purpose of this study was to assess the preoperative diagnostic accuracy of duodenoscopy appearance and biopsy in all cases with suspicion of tumor. Thirty patients with suspicion of carcinoma of the papilla of Vater and with final diagnosis established by pancreatoduodenectomy were included in this retrospective study. In each case, a comparison was made between endoscopic biopsy and duodenoscopic appearance. Duodenoscopic appearance sensitivity and accuracy for malignancy were 86% and 83%, respectively, whereas endoscopic biopsy sensitivity and accuracy were 65% and 67%, respectively. Although preoperative diagnosis of carcinoma of the papilla of Vater is useful for making therapeutic decisions, the diagnostic value of the endoscopic appearance was superior to endoscopic biopsy in this series.
机译：Vater的乳头状癌被分类为壶腹周围癌，占所有胃肠道恶性肿瘤的5％。对于那些乳头状瘤患者来说，早期准确的诊断非常重要，因为其预后要比其他壶腹周围肿瘤好。内窥镜检查可疑乳头活检可以发现早期肿瘤，尽管即使是熟练的病理学家，也常常难以根据钳子活检将癌与无创性病变区分开。这项研究的目的是评估十二指肠镜检查在所有怀疑肿瘤的病例中的术前诊断准确性和活检。这项回顾性研究纳入了30例怀疑Vater乳头状癌且经胰十二指肠切除术最终确诊的患者。在每种情况下，都对内窥镜活检和十二指肠镜检查外观进行了比较。十二指肠镜对恶性肿瘤的外观敏感性和准确性分别为86％和83％，而内窥镜活检的敏感性和准确性分别为65％和67％。尽管术前诊断Vater乳头状癌有助于做出治疗决策，但在该系列中，内镜外观的诊断价值优于内镜活检。

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