小肠血管瘤的临床病理分析

目的总结小肠血管瘤的临床及病理组织学特征,以减少误诊和漏诊。方法对11例小肠血管瘤患者的病变小肠组织做切片HE染色,光镜下观察,同时复习相关文献。结果海绵状血管瘤7例,毛细血管瘤1例,混合型3例。空肠段4例,回肠段7例。10例单发,1例多发。11例均有慢性消化道出血史。术前7例拟诊血管瘤,误诊4例;11例患者手术治疗,痊愈。结论小肠血管瘤是一种少见的小肠良性肿瘤,其诊断非常困难并且容易误诊,手术切除病灶为最佳治疗方法。

Clinicopathologic Analysis of Hemangioma of the Small Intestine

objective To analyze the clinical and pathological characteristics of hemangioma of the small intestine with the expectation to reduce the misdiagnoses and missed diagnoses. Methods Eleven cases hemangioma of the small intestine were examined by HE stains under light microscopy, with review of the relevant literatures. Results Seven eases were cavernous hemaagioma, one case was capillary hemangioma, and three cases were complex type. Four cases located in jejunum, seven cases located in ileum. Ten unifocal cases, one multifocal case. All cases were presented with chronic gastrointestinal bleeding. Before operation, seven cases were diagnosed, four cases were misdiagnosed. All cases were operated, all healed. Conclusions Hemangioma of the small intestine was a rare benign tumor. Its diagnosis was difficult, easy to missed diagnosis. The segments of small bowel with hemangioma resection were the best method of the treatment.