Clinical Analysis of 31 Cases of Ampullary Cancer
LI Qing-yun
WANG Bao-you
Abstract：Objective:To investigate the clinical characteristics and diagnosis methods of patients with ampullary cancer in order to provide basis for early diagnosis and treatment.Method:From June 2010 to June 2016,the clinical pathological features of 31 patients with ampullary cancer confirmed by pathology were analyzed.The positive rate between imaging examination and endoscopy were compared.The preoperative biopsy and postoperative pathology were also investigated.Result:The main clinical features included jaundice(77.4%),abdominal pain(41.9%),distension(25.8%),anaemia(22.6%),anepithymia(16.1%), weight loss(12.9%) and fever(9.7%).All patients presented with CT or MRCP had positive findings.The detection rate of CT for space-occupying lesions in ampulla was 96.8%,while 96.4% of MRCP.The detection rate of lisions in bile papilla was 93.3% of endoscope.Compared with postoperative pathology,72.7% results of preoperative biopsy underestimated the tumor grade.Conclusion:The early symptom of ampullary cancer is lack of specificity.CT,MRCP and endoscope are all efficient diagnostic methods of ampullary cancer.Combination of using imaging and endoscopic examination is helpful to improve the preoperative diagnosis rate and prognosis of the patients.
Keywords：Ampullary cancerClinical pathologic characteristicsDiagnosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 113-114,115 )