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目的探讨原发性空、回肠肿瘤的临床表现、病理类型及其特点,为进一步提高对该类疾病的诊断水平提供临床经验。方法对2003年1月-2012年11月62例原发性空、回肠肿瘤患者的临床资料进行回顾性分析。结果患者年龄(55±16)岁,>40岁者占83.9%。良性肿瘤9例,恶性肿瘤53例,良、恶性之比为1︰5.9。53例恶性肿瘤包括恶性间质瘤26例,恶性淋巴瘤15例,腺癌9例,另有平滑肌肉瘤、肉瘤样癌、滤泡树突状细胞肉瘤各1例;主要临床表现为腹痛(44/62,71.0%)、肠梗阻(22/62,35.5%)、贫血(16/62,25.8%)、腹胀不适(11/62,17.7%)、消化道出血(10/62,16.1%)、腹部包块(8/62,12.9%)。术前小肠肿瘤的诊断率仅为25.8%(16/62),46例患者经手术探查及术后病理检查得以确诊。结论原发性空、回肠肿瘤缺乏特异性临床表现,早期诊断相当困难,术前误诊率高,高度警惕和加深对该疾病的认识十分重要。
Objective To investigate the clinical manifestations, pathological types and characteristics of primary empty and ileum neoplasms and to provide clinical experience for further improving the diagnosis of these diseases. Methods The clinical data of 62 patients with primary empty and ileum tumors from January 2003 to November 2012 were analyzed retrospectively. Results The patients were 55 ± 16 years old and 83.9% were> 40 years old. 9 cases of benign tumors, 53 cases of malignant tumors, the ratio of benign and malignant was 1︰5.9.53 cases of malignant tumors including malignant stromal tumors in 26 cases, 15 cases of malignant lymphoma, adenocarcinoma in 9 cases, and another leiomyosarcoma, sarcomatoid 1 case of carcinoma and follicular dendritic cell sarcoma. The main clinical manifestations were abdominal pain (44/62, 71.0%), intestinal obstruction (22/62, 35.5%), anemia (16.82%, 25.8% (11 / 62,17.7%), gastrointestinal bleeding (10 / 62,16.1%) and abdominal mass (8 / 62,12.9%). Preoperative diagnosis of intestinal tumor was only 25.8% (16/62), 46 patients were confirmed by surgical exploration and postoperative pathology. Conclusions The primary empty and ileum neoplasms lack of specific clinical manifestations, early diagnosis is very difficult, high preoperative misdiagnosis rate, high vigilance and deepen the understanding of the disease is very important.