原发性小肠腺癌15例临床分析

总结了15例原发性小肠腺癌的临床资料。发生部位:十二指肠8例(53.3％),空肠4例(26％),回肠3例(20％)。临床主要表现:腹痛12例(80％),消化道出血11例(73％),体重减轻10例(66.7％),腹部包块及腹胀各8例(53.3％),黄疸2例(13％)。平均病程4个月。手术证实15例中有8例出现腹腔淋巴结及邻近脏器转移。本文强调:消化道钡餐造影、胃镜检查和开腹探查是诊断原发性小肠腺癌的有效手段。

Clinical Analysis on 15 Cases of Primary Adenocarcinoma of the Small Intestine

We examined 15 cases of primary adenocarcinoma of the small intestine diagnosed at the PUMC Hospital from 1964 to 1994. 8 were arised in duedenum (53%), 4 in jejunum(26%), and 3 in ileum(20%). The mean diagnostic delay between beginning of symptoms and the diagnosis is 4 months. The distribution of adenocarcinoma showed preponderence in dudenum (53%), followed by jejunum, and ileum(26.3%, 20%, respectively). The most common clinical feature was abdominal pain (80%), followed by gastrointestional bleeding (73%), weight loss (66.7%), palpable mass (53.3%), abdominal distention (53.3%), and jaundice (13%). Of the 15 patients undergoing surgery, 8 patients were found to have adenocarcinoma metastasis to the reginal lymph nodes and adjacent organs. It is emphasized that upper gastrointestinal series, endoscopic examination with biopsy and laparotomy may play an important role in the diagnosis of primary adenocarcinoma of the small bowel.