Turan Mustafa, Karadayi Kursat, Duman Mustafa, Ozer Hatice, Arici Sema, Yildirir Cihan, Koçak Osman, Sen Metin
Departments of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
Ulus Travma Acil Cerrahi Derg. 2010 Jul;16(4):327-33.
The aim of the present study was to describe the clinical presentation, diagnostic work-up, surgical therapy, and prognosis of 13 patients with small bowel tumor admitted for surgical procedures in an emergency setting.
From 1996 to 2008, 13 consecutive surgical cases of small bowel tumors were treated at the Cumhuriyet University Faculty of Medicine, Department of General Surgery, and Kütahya State Hospital, Department of General Surgery. Clinical and radiological charts of these patients were reviewed retrospectively from the department database.
Intestinal obstruction (7 cases) and perforation (5 cases) were the most common clinical presentations, followed by intussusception (1 case). Adenocarcinoma was the most frequent histologic type (4 cases), while small bowel sarcoma was seen in three cases and non-Hodgkin lymphoma in two cases. The remaining cases had carcinoid tumor, small bowel angioleiomyoma, Brunner's gland adenoma, and inflammatory pseudotumor of the small intestine.
Small bowel tumors are rare, the symptoms often non-specific, and the accuracy of different diagnostic tests remains to be improved. Timing and type of the intervention to the process and biological behavior of the pathological cells predict the prognosis.
本研究的目的是描述13例因急诊手术而收治的小肠肿瘤患者的临床表现、诊断检查、手术治疗及预后情况。
1996年至2008年，在居米什耶特大学医学院普通外科及屈塔希亚州立医院普通外科，连续治疗了13例小肠肿瘤手术病例。从科室数据库中对这些患者的临床和放射学图表进行了回顾性分析。
肠梗阻（7例）和穿孔（5例）是最常见的临床表现，其次是肠套叠（1例）。腺癌是最常见的组织学类型（4例），小肠肉瘤3例，非霍奇金淋巴瘤2例。其余病例有类癌肿瘤、小肠血管平滑肌瘤、布伦纳腺腺瘤和小肠炎性假瘤。
小肠肿瘤罕见，症状常不具特异性，不同诊断检查的准确性仍有待提高。对该疾病的干预时机和类型以及病理细胞的生物学行为可预测预后。
