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十二指肠类癌甚为少见,属粘膜下肿瘤,术前诊断困难。虽然近来来有报告内镜诊断十二指肠其他粘膜下肿瘤,但内镜诊断十二指肠类癌,尚未见报道。我院近2年来用Olympus内窥镜(GIF—XQ10型)诊断十二指肠类癌2例,现报告如下。例1 男性,32岁。以上腹部持续性胀痛,伴纳差乏力8天于1990年8月6日来院诊治。无呕血及黑便史。体验:一般情况尚可,上腹部轻压痛,未触及包块,血常规及大便隐血均正常。B超检查:肝、胆、胰、
Duodenal carcinoids are rare and submucosal tumors. Preoperative diagnosis is difficult. Although endoscopic diagnosis of other submucosal tumors of the duodenum has recently been reported, endoscopic diagnosis of duodenal carcinoids has not been reported. Our hospital has used Olympus endoscopy (GIF-XQ10 type) to diagnose 2 cases of duodenal carcinoid in the past 2 years. The report is as follows. Example 1 Male, 32 years old. Sustained abdominal pain over the abdomen, associated with anorexia and fatigue for 8 days on August 6, 1990 came to the hospital for treatment. No vomiting and black stool history. Experience: The general condition is fair, the upper abdomen is lightly tender and no masses are touched, and the blood routine and fecal occult blood are normal. B-ultrasonic examination: liver, gallbladder, pancreas,