Clinical analysis of 60 cases of primary small Intestinal tumors

Abstract

Objective To investigate clinical features, diagnosis and treatment of the primary small intestinal tumor. Methods 60 patients with primary small intestinal tumor which were confirmed by operation and pathological test were retrospectively analyzed. The location of tumor, pathological characteristics, clinical manifestation, diagnosis and treatment were analyzed. Results The endoscopy,X-ray,type-B ultrasonic,and CT examination were done preoperatively. The diagnosis rate preoperation 15 cases (25. 0%) was lower than 45 cases (75. 0%) postoperation (x2=9. 145,P＜0.01) ;Predilection sites;the duodenum in 20 cases(33.3%) jejunum in 13 cases(21.6%) ,ileum in 27 cases(45.5%) ;60 cases were confirmed by surgery diagnosis,18 cases(30.0%) in benign tumors were significantly lower than that 42 cases(70.0%) in malignant tumors(x2=8.215,P＜0.01) ;The incidence of adenocarcinoma in 22 cases(36. 0%) of adenocar-cinoma were significantly higher than other nature of the tumor [15 (25. 0%),5 (8.3%),2(3.3%),2(3.3%),1(1.6%),3(3.3%),4(6.6%),3(3.3%),3(3.3%)](x2=3.89,P＜0.01;x2=8.89,9.152,9.162,10.23,9.012,8.999,9.042,9.111,all P＜0.01);Partial resection of the intestinal wall or intestinal section was done for benign tumor. Radical resection was done for malignant tumor. Conclusion The clinical manifestations of primary tumors of small intestine were not specificity. Key words: Gastrointestinal neoplasms; Pathology; Diagnosis; Treatment outcome