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我院自1974年3月至1987年12月,应用纤维胃镜检查了29370人次,其中经内镜和病理诊断原发性十二指肠癌5例。一、临床资料(1)性别与年龄:男性3例,女性2例,年龄为30～75岁。(2)临床表现:上腹痛3例,黑便和(或)呕血3例,黄疸2例,出现梗阻1例,以及消瘦、乏力、贫血等症状。(3)病变部位及内镜所见:降部3例(其中乳头周围1例);球降交界处和球部各1例。胃镜所见隆起型3例,溃疡型和混合型各1例。病理报告均为腺癌。
In our hospital from March 1974 to December 1987, 29370 cases were examined by fiberoptic gastroscopy. Among them, 5 cases had primary duodenal cancer diagnosed by endoscopy and pathology. First, clinical data (1) sex and age: 3 males and 2 females, aged 30 to 75 years old. (2) Clinical manifestations: 3 cases of epigastric pain, 3 cases of melena and/or hematemesis, 2 cases of jaundice, 1 case of obstruction, and symptoms of weight loss, fatigue, and anemia. (3) Lesions and endoscopic findings: 3 cases of descending (including 1 case around the nipple); 1 case of ball drop at the junction and 1 case of the ball. There were 3 cases of uplift in gastroscopy, 1 case of ulcer and mixed type. Pathology reports are adenocarcinoma.