27例小肠原发性肿瘤临床病理分析

本文报告72例小肠原发性肿瘤,包括良性肿瘤21例(29.2%)和恶性肿瘤51例(70.8%)。肿瘤发生在十二指肠26例,空肠24例和迥肠22例.21例良性肿瘤为;平滑肌瘤(7/21),脂肪瘤(6/21)、神经纤维瘤(3/21)、腺瘤(2/21)、血管瘤(1/21)、纤维瘤(1/21)和错构瘤(1/21)。51例恶性肿瘤为:腺癌(22/51)、非何杰金氏淋巴瘤(16/51)、平滑肌肉瘤(8/51)、何杰金氏病(2/51)、神经纤维肉瘤(1/51),类癌(1/51)和十二指肠溃疡癌变(1/51),且多发生广泛转移(46.7%),25例术后五年生存率为13.7%。

A Clinical Analysis in 72 Cases of Small Bowel Primary Tumors

The study of 72 cases of primary tumors of the small bowel is reported in this paper.Among them,21(29.2%)are benign and 51(70.8%)are maligmant.In the 72 cases of the small bowel the lesion occurred in duodenum in 26 cases,in jejunum in 24 cases, in ileum in 22 cases.21 cases of benign tumor are follows:leiomyoma (7/21),lipoma(6/21),neurofibroma(3/21),adenoma(2/21), hemangioma(1/21),fibroma(1/21)and harmatoma(1/21),51 cases of malignamt tumor are as follows:adenocareinoma(22/51),non- Hodgkin's lymphoma(16/51),leiomyosarcoma(8/51),Hod gkin's disease(2/51),neurofibro-sarcoma(1/51),carcinoid(1/51)and duodenal ulcer with maligmant change(1/51),metastasis are frequent in most cases(46.7%). The 5 year postoperated survival rate in 25 cases was 13.7%.