十二指肠隆起性病变98例分析

Analysis of 98 cases with duodenal prominent lesions

目的探讨十二指肠粘膜隆起性病变的内镜表现和病理间的关系。方法回顾性分析98例十二指肠粘膜隆起性病变的内镜特点 ,并对活检标本行HE染色 ,光镜下观察。结果内镜下表现为单个或多个结节状病变。病理确诊慢性炎症 5 0例 (其中 1例为十二指肠结核 ) ,增生性息肉 2 0例 ,腺瘤样息肉 10例 ,腺癌 12例 ,高分化乳头状腺癌 2例 ,异位胰腺 2例 ,壶腹癌 1例 ,鳞癌 1例。结论十二指肠粘膜隆起性病变以慢性炎症为最多见 ,其次为息肉样病变 ,恶性病变约占 16 % ,。确诊有赖于病理检查。

Objective To evaluate the relation between the endoscopic aspect and pathologic features of duodenal mucous prominent lesions. Methods The endoscopic feature of 98 cases with duodenal prominent lesions were restrospectively analyzed.Tissue specimens were stained with HE and observed by light microscopy. Results Single or multiple protuberances polypoid gigantism were found by duodenofiberscopy in every case,pathology showed that picture of chronic duodenitis in 50(tuberculosis 1),polypoid hyperplasia 20,adenocaricinoma 12,polypoid adenomatous10,high resolution papilla adenocarcinoma 2,anomalism pancreas 2,ampullar carcinoma 1 and squamous cell carcinoma 1.Conclusion The most frequent cause of the duodenal mucous prominences lesion are chronic duodenitis,then was the polypoid,tumor (16%).