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恶性倾向极小或无恶性倾向的小肠肿瘤:文献综述及56例病例报告

Tumors of the small intestine with little or no malignant predisposition: a review of the literature and report of 56 cases.

作者信息

Olmsted W W, Ros P R, Hjermstad B M, McCarthy M J, Dachman A H

出版信息

Gastrointest Radiol. 1987;12(3):231-9. doi: 10.1007/BF01885149.

DOI:10.1007/BF01885149
PMID:3596141
Abstract

Benign small bowel tumors are rare. If those with malignant potential are excluded, a small group of truly benign lesions remains. Fifty-six cases of these small bowel tumors were analyzed for clinical data, pathologic diagnosis, number, size, location, and radiologic appearance. Lesions included lipoma, myoepithelial hamartoma, Peutz-Jeghers hamartoma, neurogenic tumors (including gangliocytic paraganglioma), Brunner's gland abnormalities, and inflammatory fibroid polyp. Location, number, and radiographic morphology can be helpful in reaching a more specific diagnosis. Age of patient and size of tumor may be helpful in the differential diagnosis; however, sex of the patient and clinical symptoms are not.

摘要

良性小肠肿瘤较为罕见。若排除具有恶性潜能的肿瘤,剩下的是一小部分真正的良性病变。对56例此类小肠肿瘤的临床资料、病理诊断、数量、大小、位置及影像学表现进行了分析。病变包括脂肪瘤、肌上皮错构瘤、黑斑息肉病错构瘤、神经源性肿瘤(包括神经节细胞副神经节瘤)、布伦纳腺异常及炎性纤维性息肉。位置、数量及影像学形态有助于做出更明确的诊断。患者年龄和肿瘤大小可能有助于鉴别诊断;然而,患者性别及临床症状则无助于鉴别诊断。

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1
Tumors of the small intestine with little or no malignant predisposition: a review of the literature and report of 56 cases.恶性倾向极小或无恶性倾向的小肠肿瘤:文献综述及56例病例报告
Gastrointest Radiol. 1987;12(3):231-9. doi: 10.1007/BF01885149.
2
Benign tumors of the small intestine: preoperative evaluation with a barium infusion technique.小肠良性肿瘤:钡剂灌注技术的术前评估
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[Radiology of tumors of the small intestine].
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Brunner's gland adenoma of duodenum: a case report and literature review.十二指肠布伦纳腺腺瘤:一例报告及文献复习
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Unusual cause of upper gastrointestinal bleeding.上消化道出血的罕见病因。
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Endoscopic treatment of a symptomatic ileal lipoma with recurrent ileocolic intussusceptions by using cap-assisted colonoscopy.使用帽辅助结肠镜检查对患有复发性回结肠套叠的有症状回肠脂肪瘤进行内镜治疗。

本文引用的文献

1
Gastric submucosal granuloma with eosinophilic infiltration.胃黏膜下肉芽肿伴嗜酸性粒细胞浸润。
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Generalized intestinal polyposis and melanin spots of the oral mucosa, lips and digits; a syndrome of diagnostic significance.全身肠道息肉病以及口腔黏膜、嘴唇和手指的黑色素斑;一种具有诊断意义的综合征。
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Lipoma within inverted Meckel's diverticulum as a cause of recurrent partial intestinal obstruction and hemorrhage: a case report and review of literature.回肠憩室内脂肪瘤作为复发性部分肠梗阻和出血的病因:病例报告及文献复习
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Myoepithelial hamartoma causing small-bowel intussusception: a case report and literature review.导致小肠套叠的肌上皮错构瘤:病例报告及文献综述
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Inflammatory fibroid polyp of the ileum.
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Polypoid hamartoma of the jejunum.空肠息肉样错构瘤
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Inflammatory fibroid polyps of the stomach.胃炎性纤维性息肉
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The brunneroma, the adenomatous hyperplasia of the Brunner's glands.布伦纳腺瘤,即布伦纳腺的腺瘤样增生。
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6
Adenomyoma (pancreatic heterotopia) of the duodenum producing common bile duct obstruction.十二指肠腺肌瘤(胰腺异位)导致胆总管梗阻。
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Primary tumors of the small bowel: a clinicopathological study of 58 cases.小肠原发性肿瘤:58例临床病理研究
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Adenomatous and carcinomatous changes in hamartomatous polyps of the small intestine (Peutz-Jeghers syndrome): report of a case and review of the literature.小肠错构瘤性息肉(Peutz-Jeghers综合征)中的腺瘤样及癌样改变:1例报告并文献复习
Cancer. 1982 Mar 1;49(5):971-83. doi: 10.1002/1097-0142(19820301)49:5<971::aid-cncr2820490522>3.0.co;2-1.
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[Radiologic study of aberrant pancreas of gastroduodenal topography. Apropos of 11 cases].
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Inflammatory fibroid polyps of the intestine.肠道炎性纤维性息肉
Am J Clin Pathol. 1984 Jun;81(6):708-14. doi: 10.1093/ajcp/81.6.708.