Clinicopathologic Features of Early Recurrence Cases after Pancreatoduodenectomy in Periampullary Carcinoma / 한국간담췌외과학회지
Korean Journal of Hepato-Biliary-Pancreatic Surgery
; : 181-184, 2002.
Article
em Ko
| WPRIM
| ID: wpr-120796
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Periampullary carcinoma could recur early even after curative resection in the small-sized lesion. The aim of this study is to clarify the clinicopathologic features of early recurrence cases after pancreatoduodenectomy in periampullary carcinoma.METHODS:
15 cases (group I) of recurrence within 6 months after pancreatoduodenectomy were compared clinicopathologically with 17 cases (group II) of no recurrence until 2 years after pancreatoduodenectomy between 1991 and 2000 in Hallym medical center.RESULTS:
There were no differences in sex and age distri- butions between two groups (M/F ratio=8/7 vs 8/9, and average age=56.9 vs 57.5). The distributions of primary lesions were 4 cases of ampulla of Vater, 6 cases of common bile duct, 5 cases of pancreatic head in group I; 7 cases of ampulla of Vater, 8 cases of common bile duct, 2 cases of pancreatic head in group II, respectively. There were no differences in tumor size (2.8+/-1.1 cm vs. 2.4+/-1.5 cm), the number of lymph node metastasis, AJCC tumor stage, histological differentiation, neural or lymphatic invasion between two groups. The number of direct invasion to adjacent organs in group I was more than that in group II (p<0.05).CONCLUSION:
The increased number of direct invasion to adjacent organs could be an important prognostic factor of early recurrence after pancreatoduodenectomy even in small-sized or no lymph node-metastasized periampullary carcinoma.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Recidiva
/
Ampola Hepatopancreática
/
Pancreaticoduodenectomia
/
Ducto Colédoco
/
Cabeça
/
Linfonodos
/
Metástase Neoplásica
Tipo de estudo:
Prognostic_studies
Idioma:
Ko
Revista:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Ano de publicação:
2002
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA