原发性空回肠肿瘤临床病理分析_《华西医学》

作者：

尹勇 ,  李忠 , 谢海彬 , 卢麒丞 , 王勍 , 许军 , 王荣朝

常州市第一人民医院胃肠外科（江苏常州，213003）;

关键词：

空肠回肠肿瘤诊断

DOI：

10.7507/1002-0179.20130587

视频：

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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。

引用本文： 尹勇,李忠,谢海彬,卢麒丞,王勍,许军,王荣朝. 原发性空回肠肿瘤临床病理分析. 华西医学, 2013, 28(12): 1856-1861. doi: 10.7507/1002-0179.20130587 复制

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8.	白春梅, 杨缇, 许莹, 等. 原发肠道非霍奇金淋巴瘤32例临床分析[J]. 中华肿瘤杂志, 2006, 28(2): 142-144.
9.	Jiang DL, Liu HY, Jiang YY, et al. Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10-year retrospective survey[J]. BMC Gastroenterology, 2012, 12(1): 101-106.
10.	Partridge BJ, Tokar JL, Haluszka O, et al. Small bowel cancers diagnosed by device-assisted enteroscopy at a U.S. referral certer: a five-year experience[J]. Dig Dis Sci, 2011, 56(9): 2701-2705.
11.	Manno M, Riccioni ME, Cannizzaro R, et al. Diagnostic and therapeutic yield of single balloon enteroscopy in patients with suspected small-bowel disease: results of the Italian multicentre study[J]. Dig Liver Dis, 2013, 45(3): 211-215.
12.	Riccioni ME, Urgesi R, Cianci R, et al. Current status of device-assisted enteroscopy: Technical matters, indication, limits and complications[J]. World J Gastrointest Endosc, 2012, 4(10): 453-461.
13.	Van Weyenberg SJ, Bouman K, Jacobs MA, et al. Comparison of MR enteroclysis with video capsule endoscopy in the investigation of small-intestinal disease[J]. Abdom Imaging, 2013, 38(1): 42-51.
14.	Masselli G, Casciani E, Polettini E, et al. Magnetic resonance imaging of small bowel neoplasms[J]. Cancer Imaging, 2013, 13(1): 92-99.
15.	刘彤, 张宝良, 何小玲,等. 116例原发性小肠肿瘤的临床病理分析[J]. 中华胃肠外科杂志, 2002, 5(4): 259-262.

1. 　Kim CH, Kye BH, Lee JI, et al. Clinicopathological features of primary jejunoileal tumors[J]. J Korean Soc Coloproctol, 2010, 26(5): 334-338.
2. 　Coco C, Rizzo G, Manno A, et al. Surgical treatment of small bowel neoplasms[J]. Eur Rev Med Pharmacol Sci, 2010, 14(4): 327-333.
3. 　杨维良, 张新晨, 闫朝歧, 等. 原发性小肠肿瘤305例临床分析[J]. 中华肿瘤杂志, 2007, 29(10): 781-783.
4. 　Han SL, Cheng J, Zhou HZ, et al. Surgically treated primary malignant tumor of small bowel: a clinical analysis[J]. World J Gastroenterol, 2010, 16(12): 1527-1532.
5. 　刘哲峰, 焦顺昌, 杨俊兰, 等. 原发性小肠恶性肿瘤120例临床研究[J]. 南方医科大学学报, 2010, 30(3): 602-604.
6. 　Moon YW, Rha SY, Shin SJ, et al. Adenocarcinoma of the small bowel at a single Korean institute: management and prognosticators[J]. J Cancer Res Clin Oncol, 2010, 136(3): 387-394.
7. 　Agrawal S, McCarron EC, Gibbs JF, et al. Surgical management and outcome in primary adenocarcinoma of the small bowel[J]. Ann Surg Oncol, 2007, 14(8): 2263-2269.
8. 　白春梅, 杨缇, 许莹, 等. 原发肠道非霍奇金淋巴瘤32例临床分析[J]. 中华肿瘤杂志, 2006, 28(2): 142-144.
9. 　Jiang DL, Liu HY, Jiang YY, et al. Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10-year retrospective survey[J]. BMC Gastroenterology, 2012, 12(1): 101-106.
10. 　Partridge BJ, Tokar JL, Haluszka O, et al. Small bowel cancers diagnosed by device-assisted enteroscopy at a U.S. referral certer: a five-year experience[J]. Dig Dis Sci, 2011, 56(9): 2701-2705.
11. 　Manno M, Riccioni ME, Cannizzaro R, et al. Diagnostic and therapeutic yield of single balloon enteroscopy in patients with suspected small-bowel disease: results of the Italian multicentre study[J]. Dig Liver Dis, 2013, 45(3): 211-215.
12. 　Riccioni ME, Urgesi R, Cianci R, et al. Current status of device-assisted enteroscopy: Technical matters, indication, limits and complications[J]. World J Gastrointest Endosc, 2012, 4(10): 453-461.
13. 　Van Weyenberg SJ, Bouman K, Jacobs MA, et al. Comparison of MR enteroclysis with video capsule endoscopy in the investigation of small-intestinal disease[J]. Abdom Imaging, 2013, 38(1): 42-51.
14. 　Masselli G, Casciani E, Polettini E, et al. Magnetic resonance imaging of small bowel neoplasms[J]. Cancer Imaging, 2013, 13(1): 92-99.
15. 　刘彤, 张宝良, 何小玲,等. 116例原发性小肠肿瘤的临床病理分析[J]. 中华胃肠外科杂志, 2002, 5(4): 259-262.

《华西医学》

原发性空回肠肿瘤临床病理分析

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原发性空回肠肿瘤临床病理分析

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