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題名 | 十二指腸Peutz-Jeghers類型缺陷瘤性息肉:一病例報告=Hamartomatous Polyps of Peutz-Jeghers Type in the Duodenum: A Case Report |
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作者 | 王志嘉; 陳聲平; 王德芳; 陸懷恩; 李貞堅; 陳文泰; Wang, Chih-chia; Chen, Sheng-pyng; Wang, Te-fang; Lu, Huai-en; Lee, Jen-jain; Chen, Wen-tai; |
期刊 | 醫學研究 |
出版日期 | 20001200 |
卷期 | 20:9 2000.12[民89.12] |
頁次 | 頁505-510 |
分類號 | 416.243 |
語文 | chi |
關鍵詞 | 十二指腸; 缺陷瘤性息肉; P-J症候群; Duodenum; Hamartomatous polyp; Peutz-Jeghers syndrome; |
中文摘要 | 臨床上,原發性的小腸腫瘤,不但本身非常少見而且常常不易診斷。病患是一位48歲的男性軍人,因暈厥(syncope)而被送到本院急診室,經初步血液常規檢查後發現病患有重度貧血的現象。入院後,再經一系列評估檢查,因疑似小腸腫瘤而安排進一步的剖腹探查手術將腫瘤切除。術後經病理報告證實病患於十二指腸近端罹患多發性缺陷瘤性息肉(hamartmatous polyps)。這種息肉在組織學上的特色與自體顯性遺傳的Peutz-Jeghers症候群的息肉具有一致性,但是在臨床上卻缺少Peutz-Jeghers症候群常見的特性,包括皮膚黏膜的色素沉澱,以及家族遺傳傾向。 |
英文摘要 | Neoplasm of the small intestine is very rare and hard to diagnose. This patient is a 48-year-old soldier who was hospitalized due to the symptom of syncope with the laboratory evidence of severe anemia. After a series of examinations and surgery of explored laparotomy with tumor excision, we confirmed that he suffered from hamartomatous polyps in the proximal part of the duodenum. The histological findings of the patient were consistent with those of hamartomatous polyps of Peutz-Jeghers syndrome. However, all the other clinical features of Peutz-Jeghers syndrome were absent, including physical stigmata and family tendency. |
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