[Diagnosis and surgical treatment of primary XXXX ].

@entity1 @entity390 @entity1087 @entity391 @entity189 @entity158
OBJECTIVE: To investigate the early diagnosis of primary @entity189 and its outcome after surgical procedure. METHODS: Twenty-two @entity1 with primary @entity189 treated operatively between 1983 and 1997 were analyzed retrospectively. Eleven @entity1 complained of @entity158 and discomfort, 5 @entity1087 , 4 @entity390 and @entity391 and 2 epigastric fullness. The correct diagnosis rate for endoscopy was 90.0% (9/10), for duodenography 86.7% (13/15), for ultrasound examination 33.3% (4/12) and for computerized tomography (CT) scanning 58.3% (7/12), respectively. All of the 22 @entity1 received surgery including pancreaticoduodenectomy (12 @entity1 ), segmental resection (4) and bypass operation (gastrojejunostomy and cholecystojejunostomy or cholangiojejunostomy) (6). RESULTS: Primary @entity189 was characterized nonspecifically, and the correct diagnosis was based on endoscopy and duodenography. The follow-up rate of this group was 86.4% (19/22). The 1-, 3-, 5-year survival rates of @entity1 receiving radical resection (n = 16, 1 @entity1 lost follow-up) were 86.7% (13/15), 46.7% (7/15), and 26.7% (4/15), respectively. The 5-year survival rate of @entity1 receiving pancreaticoduodenectomy was 27.3% (3/11), and the 5-year survival rate of @entity1 having segmental resection was 1/4. No @entity1 (n = 6, 2 lost follow-up) with primary @entity189 treated by bypass procedure survived more than one year. There was a significant difference between @entity1 receiving radical procedure and bypass operation (chi(2) = 6.84, P < 0.01). CONCLUSION: Radical resection might improve the survival of @entity1 with primary @entity189 .
