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| 題 名 | Primary Malignant Tumors of the Small Intestine=原發性小腸惡性腫瘤 |
|---|---|
| 作 者 | 黃宗人; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 12:2 1979.06[民68.06] |
| 頁 次 | 頁95-105 |
| 關鍵詞 | 小腸惡性腫瘤; 原發性; |
| 語 文 | 英文(English) |
| 中文摘要 | 高雄醫學院廿二年內,發現三十五例原渡性小腸惡性腫瘤,此三十五例皆經開刀及病理切片檢查證明為原發性小腸惡性腫瘤,其中二十五倒為淋巴肉瘤,六例為腺癌,另四例為平滑肌肉瘤。三十五例中,二例發生於十二指腸,十六例於空腸,十一例於迴腸,另六例屬於多發性。 原發性小腸惡性腫瘤,臨床上並無特殊症狀,最常見者為腹痛、體重減輕、消化道出血及阻塞症狀,由于病例少見,通常診斷上比較困難。 治療以切除為主,但不幸地,因診斷不易,所以開刀時,通常腫瘤都已蔓延,而無怯完全切除,因此預後不好。 開刀切除為率66%。三十五側中六例(17%)在術後死亡于住院中,十四例(40%)出院後死亡,另十五倒(43%)現仍活著。 原發性小腸惡性腫瘤中,平滑肌肉瘤生存時間最長,而腺癌及淋巴肉瘤最短。 |
| 英文摘要 | 1. Thirty-five cases of primary malignant tumors of the small intestine during a 22 year period at KMCH were reported. All 35 patients underwent operation and had histologic diagnosis of a primary malignant small intestinal tumor. They were 25 lymphosarcomas, 6 adenocarcinomas and 4 leiomyosarcomas. Two cases occurred in the duodenum, 16 cases in the jejunum, 11 cases in the ileum and 6 cases in multiple locations. 2.The clinical manifestations were often vague and nonspecific. The most common presentations were pain, weight loss, G-I bleeding and obstructive symptorns. 3. The relative rarity of malignancy in this part of the digestive tract decreases the suspicion of such a lesion. Therefore, the diagnosis is often delayed. 4. The treatment is radical excision of the tumor. Unfortunately, most lesions have spread beyond the limits of excision by the time of surgery. The prognosis is generally poor. 5. The resectability was 66% and 6 patients (17%) died after operation while still in the hospital. Fourteen (40%) of 35 patients died after discharge and 15 (43%) were still alive by the time of follow-up. 6. Of the malignant small bowel neoplasms, leiomyosarcoma has the longest survival time and adenocarcinoma and lymphosarcoma the shortest. |
本系統中英文摘要資訊取自各篇刊載內容。