Bauschke A, Ardelt M, Ali-Deeb A, Schnitzler L J, Schwenk L, Settmacher U
Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07740, Jena, Deutschland.
Comprehensive Cancer Center Central Germany (CCCG), 04103, Leipzig, Deutschland.
Chirurgie (Heidelb). 2025 Jul 14. doi: 10.1007/s00104-025-02341-9.
Primary small bowel tumors are extremely rare. They are often first manifested as symptomatic in advanced stages. To date, no screening options are available. The diagnostics include sectional imaging, various endoscopic procedures and positron emission tomography (PET). Depending on the histological type and tumor stage, endoscopic treatment options are available in addition to surgical resection. Following histological confirmation, discussion in the interdisciplinary tumor board is recommended for the planning of the treatment procedure. In emergency situations (hemorrhage, small bowel obstruction) laparotomy is usually performed prior to the elaborate diagnostics.
原发性小肠肿瘤极为罕见。它们通常在晚期才首次表现出症状。迄今为止，尚无可用的筛查方法。诊断方法包括断层成像、各种内镜检查程序和正电子发射断层扫描（PET）。根据组织学类型和肿瘤分期，除手术切除外，还有内镜治疗选择。在组织学确诊后，建议在多学科肿瘤委员会进行讨论，以规划治疗程序。在紧急情况（出血、小肠梗阻）下，通常在进行详细诊断之前进行剖腹手术。
