论文部分内容阅读
我院1987年至1996年间共诊治原发性十二指肠恶性肿瘤17例,占同期胃肠恶性肿瘤的0.58%(17/2920),报告如下。1 资料与方法1.1 临床资料17例中,男性11例,女性6例;年龄26～70岁,中位年龄52岁。病理组织诊断:腺癌14例(其中乳头状腺癌2例,乳头粘液腺癌1例,印戒细胞癌1例,低分化腺癌4例),恶性淋巴瘤2例,平滑肌肉瘤1例。临床症状:上腹疼痛10例;黄疸6例(病程3周～2月);腹胀4例;腹部肿块,食欲减退各3例;黑便、消瘦、贫血、左锁骨上肿物各2例;呕吐及球部穿孔急腹症各1例。病程最长者反复黑便达2年。
In our hospital from 1987 to 1996, we diagnosed and diagnosed 17 cases of primary malignant duodenal tumors, which accounted for 0.58% (17/2920) of gastrointestinal malignancies in the same period. The report is as follows. 1 Materials and Methods 1.1 Clinical data in 17 cases, 11 males and 6 females; aged 26 to 70 years, median age 52 years. Pathological diagnosis: Adenocarcinoma in 14 cases (including papillary adenocarcinoma in 2 cases, papillary adenocarcinoma in 1 case, signet ring cell carcinoma in 1 case, poorly differentiated adenocarcinoma in 4 cases), malignant lymphoma in 2 cases, leiomyosarcoma in 1 case. Clinical symptoms: 10 cases of epigastric pain; 6 cases of astragalus (3 weeks to 2 months); abdominal distention in 4 cases; abdominal mass, loss of appetite in 3 cases each; black stool, weight loss, anemia, 2 cases of left supraclavicular tumor; Vomiting and perforation of the ball were performed in 1 case each. The longest duration of the disease is repeated for up to 2 years.