摘要
[目的]回顾性分析76例十二指肠神经节细胞性副神经节瘤临床病理资料,提高临床医生对该病的认识。[方法]以"Gangliocytic paraganglioma of the duodenum"为检索词,检索Pubmed、Medline、Embase;以"十二指肠神经节细胞性副神经节瘤"为检索词,检索万方数据库、中国知网、维普数据库。时限自建库至2020年8月,系统回顾所有相关文献。[结果]检索到69篇文献,共76例患者,年龄3~92岁,主要症状腹痛、消化道出血、贫血,病变部位以十二指肠降部为主(56例,84.8%),多起源于黏膜下层(41例,64.1%),肿瘤直径5~80mm,11例(14.7%)患者出现器官或淋巴结转移,经手术切除并辅以术后放化疗,随访时间6周~8年未出现肿瘤复发或转移。[结论]十二指肠神经节细胞性副神经节瘤是一种罕见的肿瘤,预后良好。
[Objective]The clinicopathologic data of duodenal gangliocytic paraganglioma were retrospectively analyzed to improve the clinical understanding of the rare disease.[Methods]With"Gangliocytic paraganglioma of the duodenum"as the search term,we systematically reviewed the relevant literatures on PubMed,Medline,Embase,Articles Database,China HowNet and VIP Database.[Results]A total of 76 patients were included in the study.The age of patients ranged from 3 to 92 years.The main clinical symptoms were included like stomachache,gastrointestinal bleeding and anemia.It mostly occurs in the second part of the duodenum(84.8%),mainly in the submucosa(64.1%).The tumor size ranged from 5 to 80 mm.The 14.6%of patients developed distant organ metastasis or lymph node metastasis and no tumor recurrence was found after surgical resection combined with postoperative chemoradiotherapy.[Conclusion]The duodenal gangliocytic paraganglioma is a rare cancer with favorable prognosis.
作者
戢得天
刘晓波
周梦
吴婷
童强
JI De-tian;LIU Xiao-bo;ZHOU Meng;WU Ting;TONG Qiang(Postgraduate Training Base of Jinzhou Medical University in Shiyan Taihe Hospital,442000Shiyan,Hubei,China)
出处
《临床消化病杂志》
CAS
2021年第5期326-329,共4页
Chinese Journal of Clinical Gastroenterology
基金
太和医院重大精准医学研究项目(No:2016JD02)
太和医院院级课题(No:2019JJXM032)。
关键词
十二指肠神经节细胞性副神经节瘤
淋巴结转移
免疫组化
放化疗
gangliocytic paraganglioma of the duodenum
lymph node metastasis
Immunohistochemistry
chemoradiotherapy