论文部分内容阅读
目的总结原发性小肠肿瘤的诊断和治疗经验。方法回顾分析 37例原发性小肠肿瘤的临床资料。结果男 2 1例 ,女 16例 ,其中恶性肿瘤 2 4例 (腺癌 6例 ,恶性淋巴瘤 10例 ,平滑肌肉瘤 8例 ) ,良性肿瘤 13例 (平滑肌瘤 7例 ,腺瘤 3例 ,脂肪瘤、淋巴管瘤、纤维血管瘤各 1例 )。肿瘤位于回肠 18例 ,空肠 14例 ,十二指肠 5例。术前确诊仅 13例 (35 .1% )。结论因本病少见且缺乏特异表现 ,术前诊断困难 ,误诊率高 ,手术切除是最有效的治疗手段
Objective To summarize the diagnosis and treatment experience of primary small bowel tumors. Methods Clinical data of 37 cases of primary small bowel tumors were retrospectively analyzed. Results There were 21 males and 16 females, including 24 malignant tumors (6 adenocarcinomas, 10 malignant lymphomas, 8 leiomyosarcomas), 13 benign tumors (7 leiomyomas and 3 adenomas). Lipoma, lymphangioma, and fibrohemangioma in 1 patient each). The tumor was located in 18 ileum, 14 jejunum and 5 duodenum. Only 13 cases (35.1%) were diagnosed before surgery. Conclusion Due to the rare and lack of specific manifestations of the disease, preoperative diagnosis is difficult, and the rate of misdiagnosis is high. Surgical resection is the most effective treatment