Baillie C T, Williams A
Department of Surgery, St Richard's Hospital, Chichester, UK.
J R Coll Surg Edinb. 1994 Feb;39(1):8-12.
In a 20-year retrospective study of 43 patients having surgery for small bowel neoplasia in a district general hospital, the commonest pathologies were lymphoma (12), carcinoid (12) and adenocarcinoma (11). Malignant neoplasms occurred in 38 patients presenting on average at 68 years of age. In 4 patients a synchronous gastrointestinal neoplasm was found. The average duration of symptoms was 11 weeks for operated patients. In 31 patients the presentation was as a surgical emergency. Only 10 had imaging investigations prior to emergency presentation from which diagnostic information was obtained in 1 patient and helpful information in a further 4. The 5-year survival figures of patients with small bowel neoplasia were carcinoid (50%), lymphoma (27%) and adenocarcinoma (15%), reflecting the poor prognosis of these patients even after 'curative resection'. Patients with carcinoid tumours were the exception, as long-term survival was not unusual even without complete resection of all macroscopic disease.
在一家地区综合医院对43例接受小肠肿瘤手术的患者进行的一项为期20年的回顾性研究中，最常见的病理类型为淋巴瘤（12例）、类癌（12例）和腺癌（11例）。38例恶性肿瘤患者的平均发病年龄为68岁。4例患者发现同时存在胃肠道肿瘤。手术患者的平均症状持续时间为11周。31例患者以外科急症就诊。只有10例在急症就诊前进行了影像学检查，其中1例获得了诊断信息，另有4例获得了有用信息。小肠肿瘤患者的5年生存率分别为类癌（50%）、淋巴瘤（27%）和腺癌（15%），这反映出即使经过“根治性切除”，这些患者的预后仍很差。类癌肿瘤患者是个例外，因为即使没有完全切除所有肉眼可见的病灶，长期生存也并不罕见。
