Nix G A, Wilson J H, Dees J
Rofo. 1985 Apr;142(4):385-90. doi: 10.1055/s-2008-1052672.
The clinical and radiological findings in 19 patients with primary duodenal malignancy are described. Weight loss, abdominal pain, nausea and vomiting were the main symptoms. Diagnosis was made by endoscopy or ERCP (71%) or by barium studies (68%). In retrospect the tumour was visible in 97% of the studies. Tumour growth was longitudinal, circular or spiral, the inner curvature being involved over a greater length than the outer curvature. Exophytic tumour growth, involvement of the papilla of Vater, malignant spikes, transient, non-constant tumour image, skip lesions and ulceration were often seen. Mean survival time was 18 months from start of symptoms in 10 inoperable patients, and 24 months in 9 patients undergoing resection.
本文描述了19例原发性十二指肠恶性肿瘤患者的临床及影像学表现。体重减轻、腹痛、恶心和呕吐是主要症状。诊断通过内镜检查或内镜逆行胰胆管造影（ERCP）（71%）或钡餐检查（68%）做出。回顾性分析发现，97%的检查中可见肿瘤。肿瘤生长方式为纵向、环形或螺旋形，内弯受累长度大于外弯。常可见外生性肿瘤生长、Vater壶腹受累、恶性毛刺、短暂性、非持续性肿瘤影像、跳跃性病变及溃疡。10例无法手术的患者从出现症状开始的平均生存时间为18个月，9例接受切除术的患者为24个月。
