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本文报告13例经手术病理证实的肠系膜恶性肿瘤,男10例,女3例。大部分位于小肠系膜根部和小肠系膜(11例),回盲部及乙状结肠系膜各1例。其中以恶性淋巴瘤最多(9例,69％),余为平滑肌肉瘤2例,间皮肉瘤及转移性癌各1例。多因腹部肿块就诊,伴有腹痛、食欲减退、贫血、消瘦、腹水及血沉增快等症状和体征。X线表现,平片可见腹部肿块阴影(6例)及肠腔积气(3例)。胃肠造影显示肠管受压(1例〕、移位(5例)、狭窄(4例)、棚栏状改变(1例)、充盈缺损(1例)、成角(1例)和肠管缩短(2例)等征象。手术所见,有腹水者9例;瘤体最小为4cm,最大为24×20×12cm;均有转移迹象,多
This article reports 13 cases of mesenteric malignancies confirmed by pathology, including 10 males and 3 females. Most of them were in the small mesenteric roots and mesentery (11 cases), ileocecal and sigmoid mesentery in 1 case. Among them, malignant lymphomas were the most common (9 cases, 69%), and the remainder were 2 cases of leiomyosarcoma, and 1 case of mesothelioma and metastatic carcinoma. Mostly due to abdominal mass treatment, accompanied by abdominal pain, loss of appetite, anemia, weight loss, ascites and ESR and other symptoms and signs. X-ray findings, plain film shows abdominal mass shadow (6 cases) and intestinal gas (3 cases). Gastrointestinal angiography showed bowel pressure (1 case), displacement (5 cases), stenosis (4 cases), shed change (1 case), filling defect (1 case), angulation (1 case) and bowel shortening (2 cases) signs, etc.. Seen from the operation, there are 9 cases of ascites; the smallest tumor is 4cm, the largest is 24x20x12cm; there are signs of metastasis, many