Clinical analysis of primary small intestinal neoplasms in 305 cases

To summarive the experience in diagnosis and treatment of primary small intestinal neoplasm. The data of 305 patients with pathologically confirmed primary small intestinal tumor collected from 6 hospitals around the Songhua River during the past 33 years were analyzed retrospectively. There were 42...

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Published inZhōnghuá zhŏngliú zázhì Vol. 29; no. 10; p. 781
Main Authors Yang, Wei-Liang, Zhang, Xin-Chen, Yan, Zhao-Qi, Zhang, Hao-Min, Zhao, Zhi, Zhang, Jian-Guo, Wang, Yan-Jun
Format Journal Article
LanguageChinese
Published China 01.10.2007
Subjects
Adenocarcinoma - diagnosis
Adenocarcinoma - secondary
Adenocarcinoma - surgery
Adenoma - diagnosis
Adenoma - pathology
Adenoma - surgery
Adult
Aged
Aged, 80 and over
Carcinoid Tumor - diagnosis
Carcinoid Tumor - secondary
Carcinoid Tumor - surgery
Diagnostic Errors
Digestive System Surgical Procedures - methods
Duodenal Neoplasms - diagnosis
Duodenal Neoplasms - pathology
Duodenal Neoplasms - surgery
Female
Gastrointestinal Stromal Tumors - diagnosis
Gastrointestinal Stromal Tumors - secondary
Gastrointestinal Stromal Tumors - surgery
Humans
Ileal Neoplasms - diagnosis
Ileal Neoplasms - pathology
Ileal Neoplasms - surgery
Jejunal Neoplasms - diagnosis
Jejunal Neoplasms - pathology
Jejunal Neoplasms - surgery
Liver Neoplasms - secondary
Liver Neoplasms - surgery
Lymphatic Metastasis
Lymphoma - diagnosis
Lymphoma - pathology
Lymphoma - surgery
Male
Middle Aged
Young Adult
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Summary:To summarive the experience in diagnosis and treatment of primary small intestinal neoplasm. The data of 305 patients with pathologically confirmed primary small intestinal tumor collected from 6 hospitals around the Songhua River during the past 33 years were analyzed retrospectively. There were 42 benign and 263 malignant tumors in this series with a ratio of 1: 6.26. The 263 malignant tumors in this series consisted of 135 adenocarcinomas, 57 malignant stromal tumors, 37 malignant lymphomas, 20 carcinoids, and etc. Chronic occult bleeding, gradual of body weight loss and mild abdominal pain (three obscurities) were the common clinical features and alerting massage of intestinal tumor. Correct preoperative diagnostic rate was only 57.0% (174/305) due to difficulty in early diagnosis, which was 67.2% (92/137) in the duodenal tumors, and 51.9% (82/168) in the jejunoileal tumors. All of the 42 benign tumors were resected completely. For the 263 patients with malignant tumors, radical dissection was performed i
ISSN:0253-3766