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目的 探讨原发性十二指肠恶性肿瘤发病规律。方法 对 1 991～ 2 0 0 0年安徽医科大学附属医院普外科收治的 44例经病理确诊的原发性十二指肠恶性肿瘤进行回顾性分析。结果 乳头状管腺癌 34例 ,低分化腺癌 3例 ,粘液腺癌 4例 ,类癌 2例 ,平滑肌肉瘤 1例 ,胰头十二指肠周围淋巴转移 6例 ,远处淋巴结转移 2例 ,肝转移 2例。结论 胰十二指肠切除术是治疗原发性十二指肠恶性肿瘤最基本最有效的方法。
Objective To investigate the incidence of primary duodenal malignancies. Methods A retrospective analysis was performed on 44 cases of pathologically confirmed primary duodenal malignant tumors admitted to General Surgery, Anhui Medical University Affiliated Hospital from 1991 to 2000. Results 34 cases of papillary adenocarcinoma, 3 cases of poorly differentiated adenocarcinoma, mucinous adenocarcinoma in 4 cases, carcinoid in 2 cases, leiomyosarcoma in 1 case, pancreaticoduodenal lymph node metastasis in 6 cases, distant lymph node metastasis in 2 cases , Liver metastases in 2 cases. Conclusions Pancreaticoduodenectomy is the most basic and effective method for the treatment of primary duodenal malignancies.