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| 題 名 | Clinical Consequences of Adenocarcinoma in the Jejunum and Ileum=空腸及迴腸腺癌之臨床結果 |
|---|---|
| 作 者 | 孫定平; 龍藉泉; 邱仁輝; 雷永耀; 吳秋文; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 30:3 民86.05-06 |
| 頁 次 | 頁162-168 |
| 分類號 | 415.55 |
| 關鍵詞 | 空腸; 迴腸腺癌; Adenocarcinoma; Small bowel; Prognosis; |
| 語 文 | 英文(English) |
| 中文摘要 | 小腸腺癌是一種臨床上少見之腫瘤且預後不佳。台北榮民總醫院一般外 科自1976年起至1996止蒐集了153例小腸惡性腫瘤之患者(不含瓦特氏壺腹病 灶)。排除十二指腸腫瘤及其他非小腸腺性癌後,共有11例小腸之原發性腺癌接 受分析,在11例小腸原發性腺癌中,有6例發生於空腸,5例於迴腸。患者平均年 齡為59.8歲,男女比為2.7:1。臨床上多以腸阻塞之症狀來表現。最常見之症狀為 腹痛,腹脹及嘔吐(n=7),其次為小腸胃道出 |
| 英文摘要 | Adenocarcinoma of the small intestine is an infrequently encounteredtumor with very poor prognosis. The low incidence of tumor occurrence inthe jejunum and ileum leads us to know little about them, we present herethe clinical manifestations and the treatment outcome of adenocarcinomain these areas. Records of 153 patients diagnosed with small bowel malignancies that were not periampullary lesions between 1976 and 1996 werereviewed. Excluding those with non-adenocarcinomas (n=75) and duodenaltumors (n=67), 11 cases of primary adenocarcinoma of the small bowelwere analyzed. Clinical manifestations, surgical treatment and pathologicaldiagnosis were presented and the surgical outcome was analyzed withKaplan-Meier method. Among those 11 patients with primary small boweladenocarcinoma, six had tumors located in the jejunum, and five in the ileum.The mean age was 59.8±7.3 years with a male to female predominance of2.7:1. Intestinal obstruction was the most common encountered impression(n=7), followed by lower gastrointestinal tract bleeding (n=3). Nine of the11 patients were diagnosed with roentgen findings of segmental thicknessof the intestinal wall, or "napkin-ring" strictures. Survival rates correlatedwell with tumor staging, with a five-year survival rate around 30.7. Weconclude that jejunal and ileal adenocarcinomas are rarely encountered buthave poor prognosis. Surgical treatment at an early stage is mandatory toimprove the patient's survival. |
本系統中英文摘要資訊取自各篇刊載內容。