十二指肠诊断与治疗进展——十二指肠腺癌的诊治

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十二指肠恶性肿瘤虽然少见 ,在消化道肿瘤中不到 1% ,但十二指肠长度仅为小肠的 8% ,癌的发生率却占小肠的 4 0 %~ 50 %。再者十二指肠腺癌缺乏特异的临床表现 ,不易早期发现。加上涉及胆、胰、门静脉和肠系膜血管的复杂解剖关系 ,其临床的重要性显而易见。1 病理和临床表现 Although rare, duodenal malignancies are less than 1% in gastrointestinal tumors, but the length of the duodenum is only 8% of the small intestine and the incidence of cancer accounts for 40% to 50% of the small intestine. In addition to the lack of specific clinical manifestations of duodenal adenocarcinoma, not easy to find early. Together with the complex anatomic relationships involving the gall bladder, pancreas, portal vein and mesenteric vessels, the clinical importance is evident. 1 pathology and clinical manifestations
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