小肠肿瘤的临床病理特点、手术治疗及预后

Anh Doanh Nguyen, Tucker Le
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摘要

摘要简介:小肠肿瘤是一种罕见的疾病,以恶性为主,临床形态多样。本研究旨在描述越南大学医院小肠肿瘤患者手术治疗的临床、准临床形态、病理和早期结果。患者和方法:描述性回顾性研究,2015年1月至2020年12月在越南大学附属医院手术的小肠肿瘤患者。结果:2015年1月至2020年12月在越南大学医院接受手术治疗的患者64例(平均年龄54.12±15.49岁,男性30例,女性34例)。急性型:32.1%。慢性临床形式:62.5%。恶性肿瘤占52/64例(81.2%),gist中高危者占61.5%。小肠切除率为89.1%。除1例术后死亡外,无其他术后并发症。术后生存时间58.82±3.04个月,GIST生存期最佳为61个月,腺癌生存期最差为6个月。结论:小肠肿瘤是一种罕见的疾病,多发生于中年,病程无明显进展,常在疾病晚期才被发现。GIST治疗阳性的比例较高(57.8%)。关键词:小肠肿瘤,组织病理学,手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinicopathologic features, surgical treatments and outcomes of small bowel tumors
Abstract Introduction: Small bowel tumor is a rare disease, mainly malignant, with diverse clinical morphology. This study aims to describe the clinical, para-clinical morphology, pathology, and early outcomes of surgical treatment for patients with small bowel tumor at Viet Duc University Hospital. Patients and methods: Descriptive retrospective study, patients with small bowel tumors were operated at Viet Duc University Hospital from January 2015 to December 2020. Results: 64 patients (mean age 54.12 ± 15.49, 30 men, 34 women) underwent surgery at Viet Duc University Hospital from January 2015 to December 2020. Acute form: 32.1%. Chronic clinical forms: 62.5%. Malignant tumors account for 52/64 cases (81.2%) while GISTs intermediate risk- high risk accounted for 61.5% mainly. The percentage of small bowel resection was 89.1%. There was no other postoperative complication, except one case of postoperative death. The survival time after surgery was 58.82±3.04 months, the best case was GIST 61 months, the worst was Adenocarcinoma 6 months. Conclusion: Small bowel tumor is a rare disease, mostly malignant at the middle age with silent progression, often detected when the disease at a last stage. GIST accounts for the high proportion (57.8%) with positive treatment results. Keywords: Small bowel tumor, histopathology, surgical treatment.
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