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- W2358576866 abstract "Objective To investigate the clinicopathological features and surgical management in 48 cases of the pancreatic head cancer measuring 2 cm or less in diameter. Methods A retrospective clinical analysis was made in the 48 cases of small pancreatic head carcinoma admitted from 1996 to 2004. Results The series was constituted by 29 men and 19 women with a mean age of 60.5 years. The tumors were surgically resected in all patients, by pancreacoduodenectomy in 35, by pancreatoduodenectomy combined with resection and reconstruction of the superior mesenteric vein (SMV) in 3, and by pancreatoduodenectomy combined with regional lymph node dissection in 10. Pathology showed 45 cases of tubular adenocarcinoma, 2 cases of papillary adenocarcinoma and 1 case of adenosquamous carcinoma. Lymph node metastasis was found in 17 patients, and perineurol invasion in 25 patients. Follow-up study showed, the mean survival time in patients without lymph node metastasis and perineural invasion was (28.7±16.8)months,which was significantly longer than that in patients with lymph node metastasis and/or perineural invasion. Conclusions Over half of the cases of pancreatic head cancer measuring 2 cm or less in diameter had lymph node metastasis and /or perineurol invasion. Lymph node metastasis and perineurol invasion were two of the most important factors bearing relevance to the prognosis. Radical resection with extensive clearance of peri-pancreatic soft tissue and lymph node curage should be considered as basic steps in the surgical treatment of small pancreatic carcinoma." @default.
- W2358576866 created "2016-06-24" @default.
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- W2358576866 date "2005-01-01" @default.
- W2358576866 modified "2023-09-23" @default.
- W2358576866 title "The clinicopathologic features and surgical management of the pancreatic head cancer measuring 2 cm or less in diameter" @default.
- W2358576866 hasPublicationYear "2005" @default.
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