Reiter J, Kaufmann W, Saeger H D
Chirurg. 1981 Jul;52(7):457-61.
Duodenal tumors are rare. The symptoms are mostly uncharacteristic upper abdominal pain or chronic anemia on account of occult blood loss. Tumors of mesenchymal or neurogenic origin may lead to dangerous bleeding from ulceration of the mucosa. Malignant tumors of the duodenum are often histologically adenocarcinomas and should be treated by partial or total pancreatectomy. If located below the papilla or at the duodenojejunal flexure, sometimes partial duodenal resection with end-to-end anastomosis may be performed. Benign tumors should be removed by local excision. In cases of duodenal malignancy, early detection and radical resection should help to increase the survival rate of the patients.
十二指肠肿瘤较为罕见。症状多为无特征性的上腹部疼痛或因隐匿性失血导致的慢性贫血。间叶源性或神经源性肿瘤可能导致黏膜溃疡引起危险的出血。十二指肠恶性肿瘤在组织学上多为腺癌,应行部分或全胰切除术治疗。若肿瘤位于乳头下方或十二指肠空肠曲,有时可行十二指肠部分切除并端端吻合术。良性肿瘤应行局部切除术。对于十二指肠恶性肿瘤,早期发现和根治性切除有助于提高患者的生存率。