原发性巨大十二指肠空肠曲肿瘤4例报告  

Primary giant tumor of the duodenojejunal flexure(A report of 4 cases)

作　　者：邱江锋[1] 尤俊[1] 张志奇[1] 林天胜[1] 许林[1] 蔡建春[1] 

机构地区：[1]厦门大学附属第一医院肿瘤外科,福建厦门361003

出　　处：《现代肿瘤医学》2010年第12期2436-2438,共3页Journal of Modern Oncology

摘　　要：目的:总结和探讨原发性巨大十二指肠空肠曲肿瘤的诊治方法。方法:2007年11月至2009年9月共收治4例原发性巨大十二指肠空肠曲肿瘤患者,其中男性3例,女性1例,年龄35-45岁,以腹部包块为主要临床表现。结果:4例患者均成功实施了包括肿瘤在内的部分十二指肠和10cm-15cm近端空肠切除术及十二指肠空肠吻合术。其中3例为小肠间质瘤,1例为T细胞淋巴瘤。手术时间为240-480min,术中出血量600-5000ml,住院时间分别为17-58d。2例术后出现胃肠动力障碍,3例小肠间质瘤病人随访1-22个月均无瘤生存,而T细胞淋巴瘤病人于术后12个月复发死亡。结论:以腹部巨大包块为表现的病人应考虑到十二指肠空肠曲肿瘤的可能,积极探查和根治性切除是改善预后的唯一可靠手段。Objective：To study and summarize the diagnosis and treatment for primary giant tumor of the duodenojejunal flexure.Methods：The clinical data of 4 cases of primary giant tumor of the duodenojejunal flexure from November 2007 to September 2009 were analyzed included 3 males and 1 female with a giant abdominal mass as their major clinical sign,aged 35 to 45 years old average 39.Results：Radical resection including giant tumor and distal duodenum as well as 10cm to 15cm in length jejunum were performed successfully in all 4 cases,of which 3 cases were intestinal stromal tumors and 1 case was T cell type lymphoma.The operation time was 240 to 480min.The estimated blood loss was 600 to 5000ml.The hospital stay was 17 to 58d.Two patients who had evacuatory dysfunction of the duodenum postoperation were cured by conservative therapy,3 patients with intestinal stromal tumor survived without tumor recurrence following up for 1 to 22 months,whereas the patient with T cell type lymphoma died from tumor recurrence 12 months after operation.Conclusion：Patients with giant abdominal mass must be cared of primary tumor of the duodenojejunal flexure.Radical resection remains the mainstay can improve prognosis.

关 键 词：十二指肠空肠曲 肿瘤 原发性 手术 

分 类 号：R735.31[医药卫生—肿瘤]