Di Mauro S, Pracanica G, Carrozza G, Bombardieri T, Salibra M, Di Vincenzo C
Istituto di Chirurgia Generale, Università degli Studi di Messina.
Ann Ital Chir. 1990 Jan-Feb;61(1):63-8; discussion 68-9.
The carcinoma of the jejunum represents 3-6.5% of gastric intestinal tumors and 33-50% of small intestine carcinomas. The observation of a case of jejunum carcinoma has offered the authors the idea for a critical revision on the subject. After an examination on the diagnostic, anatomopathological, clinical and therapeutic problems, the authors underline the importance of the precocious diagnosis of neoplasia; in fact the jejunum carcinoma is characterized by a hidden and aspecific symptomatology and by dangerous evolution; besides the site is difficult for an organic study with the common methods of investigation. Therefore, in all patients in whom the suspicion of a jejunum pathology exists, it is indispensable to carry out a precise diagnostic iter which is based on radiological endoscopic and tomographic investigation: in fact the small intestine and the jejunum in particular are intestinal tracts that are explored with difficult and therefore at times only an accurate effecting of the radiological study can permit a precocious diagnosis the only valid supposition for the carrying out of a truly radical surgical therapy and for the acquiring of a batter prognosis.
空肠癌占胃肠道肿瘤的3% - 6.5%,占小肠癌的33% - 50%。对一例空肠癌病例的观察为作者提供了对该主题进行批判性修订的思路。在对诊断、解剖病理学、临床和治疗问题进行研究后,作者强调了肿瘤早熟诊断的重要性;事实上,空肠癌的特点是症状隐匿且不具特异性,病情发展危险;此外,通过常规检查方法对该部位进行器官研究存在困难。因此,对于所有怀疑有空肠病变的患者,进行基于放射学、内镜和断层扫描检查的精确诊断流程是必不可少的:实际上,小肠尤其是空肠是难以探查的肠道,因此有时只有准确进行放射学检查才能实现早熟诊断,这是进行真正根治性手术治疗并获得更好预后的唯一有效前提。