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《Chinese Journal of Clinical Medicine》 2006-01
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Clinical Analysis of 41 Cases of Primary Malignant Tumor in Small Intestine

GONG Jian ZHOU Yueming Department of General Practice,Zhongshan Hospital ,Fudan University,Shanghai 200032  
Objective: To investigate the clinical manifestotions,histopathological patterns and diagnosis of primary malignant tumor in small intestine(PMTSI). Methods:The clinical data of 41 cases of PMTSI confirmed by pathology admitted from 1999 to 2004 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 obsructioa Preoperative diagnosis rate was 53.7% . Preoperative misdiagnosis rate was 46.3% .It was easily misdiagnosed as other digestive tract diseases and pelvic disorders. Conclusion:The main pathological patterns of PMISI are malignant stromal tumor,adenocarcinoma,leiomyosarcoma and malignant lymphoma. Its clinical manifestations and diagnostic examination methods are not good enough, which usually leads to misdiagnosis,so attention should be paid for early diagnosis.
【CateGory Index】: R735.32
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