原发性小肠恶性肿瘤64例临床分析

Clinical analysis of 64 cases of primary malignant tumor in small intestine

目的:分析原发性小肠恶性肿瘤的临床特征及诊疗方法。方法:回顾性分析近6年收治并经病理证实的64例原发性小肠恶性肿瘤的临床资料。结果:病理类型以恶性间质瘤、腺癌、平滑肌肉瘤、恶性淋巴瘤为主。主要临床表现为腹痛、腹块、出血、贫血、呕吐、肠梗阻等。术前诊断符合率46.9%,误诊率53.1%。结论:原发性小肠恶性肿瘤以恶性间质瘤、腺癌、平滑肌肉瘤、恶性淋巴瘤为多见。临床表现缺乏特异性,检查手段相对不足,容易延误诊断,临床医师应提高对小肠恶性肿瘤的认识,早期诊断是关键,手术治疗是首选。

Objective： To investigate the clinical patterns and diagnosis of primary malignant tumor in small intestine（PMTSI）. Methods：The clinical data of 64 eases of PMTSI confirmed by pathology admitted from 2002 to 2007 in our hospital were retrospectively analyzed. Results： The main pathological patterns of PMTSI were malignant stromal tumor, adenocarcinoma, leiomyosarcoma and malignant lymphoma. The common clinical manifestations were abdominal pain, abdominal mass, hemorrhage and anemia, vomiting and intestinal obsruction. Preoperative diagnose accordance rate was 46.9% and misdiagnosis rate was 53.1%. Conclusion： The main pathological pattems of PMISI are malignant stromal tumor, ad , leiomyosarcoma and malignant lymphoma Its clinical manifestations and diagnostic examination methods are not good enough, which usually leads to misdiagnosis. Attention should be paid for early diagnosis.