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《Chinese Journal of Gastrointestinal Surgery》 2002-04
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Clinicopathological analysis of primary small intestinal neoplasm in 116 cases

LIU Tong, ZHANG Baoliang,HE Xiaoling,et al. Department of General Surgery,Tianjin Medical University Hospital,Tianjin 300052, China  
Objective To improve the diagnostic rate and therapeutic level of primary small intestinal neoplasm. Methods 116 cases with primary small intestinal tumors treated in our hospital from 1991 to 2000 were studied retrospectively. All patients were identified by postoperative histopathological examination. Results The age of 84 5% of patients was over 40 years old and the ratio between benign and malignant tumors was 1∶6 3. Malignant tumors consisted of adenocarcinoma(48%), malignant stromaltumor(27%) and malignant lymphoma(20%), with larger diameters than benign tumors. The key clinical features of these patients consisted of occult bleeding in digestive tract, gradual body weight loss and mild abdominal pain. In all cases, 75 9% of patients got the probable diagnosis, 62 1% had the definite diagnosis of small bowel tumor preoperatively, and 92 2% get correct determination of benign and malignant tumor in laparotomy. The malignant cases respectively underwent curative operation (57%), cytoreductive operation (13%) such as simple resection of tumor or palliative operation (30%) including gut bypass, biopsy and laparotomy. Among 70 resectable patients, regional lymphatic metastasis occurred in 52 cases and distant metastasis in 14 . Conclusions Primary small intestinal neoplasm is rare in alimentary tract. Attention to those 3 equivocal clinical features,application of a serial preoperative examinations including endoscopy as well as pathological examination of the freezing tissue during the operation are helpfal in diagnosis of small intestine tumor. As for the stromaltumors difficult to confirm benign or malignant nature, and some rare neoplasms,radical resection may be the sensible treatment.
【CateGory Index】: R735.32
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