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十二指肠原发性恶性肿瘤较少见,仅占整个胃肠道恶性肿瘤的0.33％。易误诊、漏诊。现将本科临床所见1例报告如下。 女患,66岁。因上腹部规律性疼痛8个月,加重3天来诊。患者8个月前无诱因出现上腹部疼痛,疼痛多在饭后3小时及夜间发生,呈烧灼样,偶尔呈绞痛,不能耐受,进少量食物后可缓解,伴嗳气、反酸,无呕吐及黑便。曾做纤维胃镜检查,诊断为十二指肠球后溃疡(活动期),口服雷尼替丁和氢氧化铝
Duodenal primary malignant tumors are rare, accounting for only 0.33% of the entire gastrointestinal cancer. Misdiagnosis and missed diagnosis. A case report of undergraduate clinical findings is as follows. Female is 66 years old. Due to regular pain in the upper abdomen for 8 months, the patient was aggravated for 3 days. The patient had no cause of upper abdominal pain 8 months before. The pain occurred more than 3 hours after dinner and at night. It was burning-like and occasionally presented as cramps and could not be tolerated. After a small amount of food, it could be relieved, with hernia, acid reflux, and no Vomiting and black stools. He did fiberoptic gastroscopy and diagnosed as duodenal ulcer (active phase), oral ranitidine and aluminum hydroxide