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Imaging diagnosis of duodenal cancer
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Imaging diagnosis of duodenal cancer
Abstract Objective: To investigate the gastrointestinal barium study and CT diagnosis of duodenal cancer and diagnosis of technical requirements. Methods: 29 patients with pathologically confirmed malignant duodenal tumors were retrospectively analyzed, of which 21 cases were treated with gastrointestinal barium meal examination, 9 cases were treated with CT. Results: The barium meal examination was normal in 2 cases, misdiagnosed in 3 cases, diagnosed in 16 cases, accuracy was 76%. CT examination misdiagnosed 2 cases diagnosed in 7 cases, accuracy was 77%. Conclusion: The duodenal lesions suspected to be the preferred gastrointestinal barium meal examination, barium meal suspected cancer who choose endoscope and CT. CT examination of the development of surgical programs and sub-contractors prognosis of much help.
Keywords Duodenum; malignant tumor; gastrointestinal barium meal; CT
Duodenal cancer is more rare, the autopsy report the incidence of 0.019 ~ 0.05%, accounting for 0.5% of gastrointestinal malignancies. However, the small intestine duodenum is the site of cancer most commonly abused, accounting for 33% ~ 45%. Diagnostic imaging is difficult sometimes, collected 29 cases of this retrospective analysis, focused on the gastrointestinal barium study and CT diagnosis of duodenal cancer diagnosis and the technical requirements and differential diagnosis.
1 Materials and methods
This collection of 29 cases by surgery, endoscopy and finally confirmed by pathology. 29 cases in men and 21 cases, female 8 cases; aged 10 to 72 years old, of which 22 cases over 50 years of age, accounting for 76%; 40 years of age in 3 cases, accounting for 10%. The above clinical manifestations of abdominal pain the most common, followed by nausea, vomiting, jaundice, melena, weight loss and abdominal mass. 29 cases, and made a gastrointestinal barium meal, or who is two-finger intest
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