Analysis of clinical diagnosis,surgical management and prognosis in primary malignant tumor of the duo-denum
10.3969/j.issn.1006-5725.2018.06.031
- VernacularTitle:十二指肠恶性肿瘤的诊断、治疗及预后风险因素分析
- Author:
Bin CHEN
1
;
Chunhua WANG
;
Xiaonong WANG
;
Xiao HE
Author Information
1. 赣南医学院第一附属医院肝胆外科 江西赣州341000
- Keywords:
duodenal neoplasms;
pancreaticoduodenectomy;
diagnosis;
treatment;
prognosis
- From:
The Journal of Practical Medicine
2018;34(6):998-1002
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnosis,surgical treatment and prognosis of primary malignant tumor of the duodenum. Methods The clinical data of 118 cases with primary malignant tumor of the duodenum were collected and analyzed retrospectively during January 2005 to December 2015. Results Tumors located in the first,second,third and fourth parts in 7 cases,92 cases,12 cases,and 7 cases individually.The correct di-agnosis rate of endoscopy,duodenography,abdominal enhanced CT and ultrasound was 83.02%,79.42%,47.46% and 29.41% separately.Eighty cases underwent pancreaticoduodenectomy,18 cases received segmental duodenectom and 20 cases received bypass operation. Conclusions Tumors located in papillary region account for the majority of primary malignant tumors of the duodenum and are mainly of adenocarcinoma.Duodenography and endoscopy are the major methods for diagnosis of primary malignant tumor of the duodenum.Pancreaticoduodeneetomy is the first choice of therapy for primary malignant tumor in the duodenum.
