原发性十二指肠癌19例分析

Analysis of 19 Cases Primary Duodenal Carcinoma

目的:总结原发性十二指肠癌的诊断及治疗。方法:回顾性分析19例原发性十二指肠癌病例的临床资料。结果:原发性十二指肠癌临床上主要表现为腹痛、黄疸及消化道出血。多发生在十二指肠第二段,尤以乳头部居多,组织学上腺癌最多,内镜及胃肠造影是早期诊断十二指肠癌的主要手段,CT可以确定原发病灶和转移病灶部位,且为无创检查,可以酌情选用。手术切除是主要的治疗方法。结论:早期诊断,及时治疗是影响原发性十二指肠癌预后的关键。

Objective：To sum up the diagnsis and the therapy of primary duodenal carcinoma. Methods：Retrospective analysis of 19 cases clinical data with primary duodenal carcinoma. Results：The main clinical feature of primary duodenal carcinoma could be abdominal pain, jaundice and morrhage mainly located in the second duodenum, particular papiUar, The adenocarcinoma was more common in all pathologic types . The main diagnostic procedurse were endoscopic and upper GI barium meal, CT could make sure primary lesion and matathesism , it was also a kind of unharm method and could be use according to need . Conclusion： The early diagnosis and treatment in time is the key to effect prognosis of primary duodenal carcinoma.