摘要
目的:总结原发性小肠恶性肿瘤的临床类型、病理特征及诊断方法。方法:回顾分析1997-2006年经安徽医科大学第一附属医院诊治的147例原发性小肠恶性肿瘤的临床资料、病理特征及术前诊断。结果:按病理分型,腺癌99例,占主要部分;间叶组织肉瘤20例,恶性间质瘤14例,淋巴瘤8例,类癌(包括神经内分泌瘤)6例。按肿瘤所在部位:十二指肠101例,空肠28例,回肠11例,肠系膜7例。小肠肿瘤最常见的临床表现为腹痛、黃疸、腹块以及消化道出血等。内镜、低张造影、B型超声(BUS)、电子体层成像(CT)、内镜逆行胰胆管造影(ERCP)或磁共振胰胆管造影(MRCP)、数字减影血管造影(DSA)检查对诊断有重要作用。结论:原发性小肠肿瘤以腺癌最多,早期临床表现没有特异性,联合应用内镜及影像学检查可提高检出率。
Objective ： To summarize clinical manifestations, histopathological patterns and effective diagnostic method of primary small bowel malignant tumor. Methods ： The data of primary malignant tumor of the small intestine confirmed by pathological examination admitted from （ 1997 - 2006 ） The First Affiliated Hospital of An Hui Medical University were retrospectively analyzed. Results： Of the 147cases primary malignant tumors, 99 were adanocarcinoma, 20 leiomyosarcoma, 14 stromal tumors,8 lymphoma and 6 carcinoid （include neurocrionma）. In the group of 147 cases, 101 cases located at duodenum,28 cases at jejunum and 11 cases at ileum,7 cases at mesentery . The most common clicinal manifestations were abdominal pain, janudice, abdomialmass, gastrointestinal haemorrhage etc. Endoscopy, upper GI barinm meal, BUS, CT and MRCP or ERCP were also useful for the intestine tumor. Conclusion： Adenocarcinoma predominates among primary malignant tumor of the small intestine, specific symptom and sign were usually lacking in early stage, combination of endoscopy and imaging examination was useful for diagnosis.
出处
《包头医学院学报》
CAS
2008年第4期363-365,共3页
Journal of Baotou Medical College
