86例小肠癌的病理观察

本文报告８６例小肠癌，其中６１例原发，２５例继发。小肠癌的内涵有争议，本报告包含壶腹部癌而不包括回盲部癌。原发性小肠癌肉眼分四类：息肉型、浸润溃疡型、缩窄型和弥漫型。前三型是肿瘤发展的不同阶段，与肿瘤发生部位有关。本文还对小肠癌的鉴别诊断进行了讨论。

A pathological observation on 86 cases with carcinoma of small intestine

cases with carcinoma of small intestine were reported. Of them, 61 cases were primary and 25, secondary.The intension of carcinoma of small intestine is a contentious question.In this report,the periampullary carcinoma was included but not the ileocecal carcinoma.Glossly,the primary carcinoma of small intestine was classified into 4 types:(I) polypoid or fungating type,(II) infiltrating and ulcerating type,(III) constricting and stricture type and (IV) diffusely spreading type.I-III types were the various phases in the tumor development and were related to the locations of the tumor.The differential diagnosis of the carcinoma of small intestine was discussed.