Clinicopathological Analysis of Primary Jejunoileal Neoplasm_West China Medical Journal

Authors：

YIN Yong ,  LI Zhong , XIE Haibin , LU Qicheng , WANG Qing , XU Jun , WANG Rongchao.

Department of Gastroenterological Surgery, the First People’s Hospital of Changzhou, Changzhou, Jiangsu 213003, P. R. China;

Corresponding?author：

LI Zhong, Email: yinyong1973@163.com

Keywords：

空腸; 回腸; 腫瘤; 診斷

DOI：

10.7507/1002-0179.20130587

Video：

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目的　探討原發性空、回腸腫瘤的臨床表現、病理類型及其特點，為進一步提高對該類疾病的診斷水平提供臨床經驗。方法　對2003年1月－2012年11月62例原發性空、回腸腫瘤患者的臨床資料進行回顧性分析。結果　患者年齡（55 ± 16）歲，＞40歲者占83.9%。良性腫瘤9例，惡性腫瘤53例，良、惡性之比為1︰5.9。53例惡性腫瘤包括惡性間質瘤26例，惡性淋巴瘤15例，腺癌9例，另有平滑肌肉瘤、肉瘤樣癌、濾泡樹突狀細胞肉瘤各
1例；主要臨床表現為腹痛（44/62，71.0%）、腸梗阻（22/62，35.5%）、貧血（16/62，25.8%）、腹脹不適（11/62，17.7%）、消化道出血（10/62，16.1%）、腹部包塊（8/62，12.9%）。術前小腸腫瘤的診斷率僅為25.8%（16/62），46例患者經手術探查及術后病理檢查得以確診。結論　原發性空、回腸腫瘤缺乏特異性臨床表現，早期診斷相當困難，術前誤診率高，高度警惕和加深對該疾病的認識十分重要。

Citation： YIN Yong,LI Zhong,XIE Haibin,LU Qicheng,WANG Qing,XU Jun,WANG Rongchao.. Clinicopathological Analysis of Primary Jejunoileal Neoplasm. West China Medical Journal, 2013, 28(12): 1856-1861. doi: 10.7507/1002-0179.20130587 Copy

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8.	白春梅, 楊緹, 許瑩, 等. 原發腸道非霍奇金淋巴瘤32例臨床分析[J]. 中華腫瘤雜志, 2006, 28(2): 142-144.
9.	Jiang DL, Liu HY, Jiang YY, et al. Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10-year retrospective survey[J]. BMC Gastroenterology, 2012, 12(1): 101-106.
10.	Partridge BJ, Tokar JL, Haluszka O, et al. Small bowel cancers diagnosed by device-assisted enteroscopy at a U.S. referral certer: a five-year experience[J]. Dig Dis Sci, 2011, 56(9): 2701-2705.
11.	Manno M, Riccioni ME, Cannizzaro R, et al. Diagnostic and therapeutic yield of single balloon enteroscopy in patients with suspected small-bowel disease: results of the Italian multicentre study[J]. Dig Liver Dis, 2013, 45(3): 211-215.
12.	Riccioni ME, Urgesi R, Cianci R, et al. Current status of device-assisted enteroscopy: Technical matters, indication, limits and complications[J]. World J Gastrointest Endosc, 2012, 4(10): 453-461.
13.	Van Weyenberg SJ, Bouman K, Jacobs MA, et al. Comparison of MR enteroclysis with video capsule endoscopy in the investigation of small-intestinal disease[J]. Abdom Imaging, 2013, 38(1): 42-51.
14.	Masselli G, Casciani E, Polettini E, et al. Magnetic resonance imaging of small bowel neoplasms[J]. Cancer Imaging, 2013, 13(1): 92-99.
15.	劉彤, 張寶良, 何小玲,等. 116例原發性小腸腫瘤的臨床病理分析[J]. 中華胃腸外科雜志, 2002, 5(4): 259-262.

1. 　Kim CH, Kye BH, Lee JI, et al. Clinicopathological features of primary jejunoileal tumors[J]. J Korean Soc Coloproctol, 2010, 26(5): 334-338.
2. 　Coco C, Rizzo G, Manno A, et al. Surgical treatment of small bowel neoplasms[J]. Eur Rev Med Pharmacol Sci, 2010, 14(4): 327-333.
3. 　楊維良, 張新晨, 閆朝歧, 等. 原發性小腸腫瘤305例臨床分析[J]. 中華腫瘤雜志, 2007, 29(10): 781-783.
4. 　Han SL, Cheng J, Zhou HZ, et al. Surgically treated primary malignant tumor of small bowel: a clinical analysis[J]. World J Gastroenterol, 2010, 16(12): 1527-1532.
5. 　劉哲峰, 焦順昌, 楊俊蘭, 等. 原發性小腸惡性腫瘤120例臨床研究[J]. 南方醫科大學學報, 2010, 30(3): 602-604.
6. 　Moon YW, Rha SY, Shin SJ, et al. Adenocarcinoma of the small bowel at a single Korean institute: management and prognosticators[J]. J Cancer Res Clin Oncol, 2010, 136(3): 387-394.
7. 　Agrawal S, McCarron EC, Gibbs JF, et al. Surgical management and outcome in primary adenocarcinoma of the small bowel[J]. Ann Surg Oncol, 2007, 14(8): 2263-2269.
8. 　白春梅, 楊緹, 許瑩, 等. 原發腸道非霍奇金淋巴瘤32例臨床分析[J]. 中華腫瘤雜志, 2006, 28(2): 142-144.
9. 　Jiang DL, Liu HY, Jiang YY, et al. Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10-year retrospective survey[J]. BMC Gastroenterology, 2012, 12(1): 101-106.
10. 　Partridge BJ, Tokar JL, Haluszka O, et al. Small bowel cancers diagnosed by device-assisted enteroscopy at a U.S. referral certer: a five-year experience[J]. Dig Dis Sci, 2011, 56(9): 2701-2705.
11. 　Manno M, Riccioni ME, Cannizzaro R, et al. Diagnostic and therapeutic yield of single balloon enteroscopy in patients with suspected small-bowel disease: results of the Italian multicentre study[J]. Dig Liver Dis, 2013, 45(3): 211-215.
12. 　Riccioni ME, Urgesi R, Cianci R, et al. Current status of device-assisted enteroscopy: Technical matters, indication, limits and complications[J]. World J Gastrointest Endosc, 2012, 4(10): 453-461.
13. 　Van Weyenberg SJ, Bouman K, Jacobs MA, et al. Comparison of MR enteroclysis with video capsule endoscopy in the investigation of small-intestinal disease[J]. Abdom Imaging, 2013, 38(1): 42-51.
14. 　Masselli G, Casciani E, Polettini E, et al. Magnetic resonance imaging of small bowel neoplasms[J]. Cancer Imaging, 2013, 13(1): 92-99.
15. 　劉彤, 張寶良, 何小玲,等. 116例原發性小腸腫瘤的臨床病理分析[J]. 中華胃腸外科雜志, 2002, 5(4): 259-262.

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