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目的探讨原发性十二指肠乳头类癌的病理组织学、免疫组织化学特征及其诊断和治疗。方法总结1例原发性十二指肠乳头类癌患者的临床资料,并结合文献复习。结果该患者行超声内镜及活检,免疫组化分析:CgA(+),Som(+)。诊断为原发性十二指肠乳头类癌。经行十二指肠乳头肿瘤切除术顺利康复出院。结论原发性十二指肠乳头类癌临床罕见,诊断困难,需结合病理组织形态、免疫表型特征确诊,治疗以手术为主。
Objective To investigate the pathological and immunohistochemical features of primary duodenal papilloma and its diagnosis and treatment. Methods The clinical data of 1 patient with primary duodenal papillary carcinoid were summarized and reviewed. Results The patient underwent endoscopic ultrasonography and biopsy. Immunohistochemical analysis: CgA (+), Som (+). Diagnosis of primary duodenal carcinoid. Through the duodenal papilloma resection smoothly recovered and discharged. Conclusions Primary duodenal papillary carcinomas are rare and difficult to diagnose. Combined with histopathological features and immunophenotypic features, the diagnosis is based on surgery.