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本文报告了10例原发性十二指肠恶性肿瘤,基中两例为罕见的何杰金氏病、重点讨论了本病的诊断、本病较为特异的表现是:起病隐匿、消瘦、制酸药多不能缓解症状、乳头下部病变,呕吐物多有胆汁及胰液大便潜血多为阳性、有胃恶件症状而胃酸过高;x线表现持久性12指肠粘膜皱襞变形。内窥镜昌诊断本病的可靠方法。医生的警惕,是避免漏诊和误诊的重要关键。胰十二指肠切除为目前公认的有效治疗方法。
This article reported 10 cases of primary duodenal malignancy, two cases of rare Hodgkin’s disease, focused on the diagnosis of the disease, the disease’s more specific performance is: onset of occult, weight loss, More acid can not relieve the symptoms, lower nipple lesions, vomit more bile and pancreatic fluid stool occult blood mostly positive, there are symptoms of gastric symptoms and high stomach acid; x-ray performance of persistent 12 fold of the mucosal folds. Endoscopic Chang is a reliable method for diagnosing this disease. The vigilance of doctors is an important key to avoid missed diagnosis and misdiagnosis. Pancreatoduodenectomy is currently recognized as an effective treatment.