Misdiagnosis of 31 cases of intestinal cancer.doc

 PAGE \* MERGEFORMAT 10 Misdiagnosis of 31 cases of intestinal cancer Of: Li Shuqing, Wang Bin, Xiong Yi Yi, Jian-Zhong Hu [Abstract] Objective To study the characteristics of small bowel tumors and misdiagnosis, diagnosis and therapy. Methods Retrospective analysis of 1991-2008 confirmed by surgery and pathology of 31 cases of intestinal cancer clinical data and pathological features and diagnostic methods. Results abdominal distention due to , gastrointestinal bleeding, intestinal obstruction, abdominal mass, such as the initial treatment of non-specific expression induced by 100% misdiagnosis rate of preoperative diagnosis in 18 cases, accounting for 38.7%. empty, ileum tumor than the duodenum, a large proportion of malignant tumors. Conclusion of the recurrent abdominal pain, unexplained gastrointestinal bleeding, intestinal obstruction, abdominal mass, and so should be alert, and the importance of small bowel tumors may be, apply the appropriate and comprehensive analysis of various inspections is to improve diagnostic accuracy, a key measure to reduce misdiagnosis. [Keywords:] the small intestine cancer misdiagnosis Clinical rare intestinal tumors, early diagnosis difficult, preoperative misdiagnosis rate of 60% [1]. Now we have treated from 1991 to 2008, confirmed by surgery and pathology were 31 cases of intestinal tumors were analyzed, in order to improve awareness of the disease and the diagnosis and treatment. 1 Clinical data 31 cases of this group of patients, including 20 males and 11 females, aged 10 to 78 years, mean age 44 years, 22 patients aged 40 and above (71%. First symptom of recurrent abdominal pain (83.9%, gastrointestinal bleeding (48.4% intestinal obstruction (32.3%, abdominal mass (29.6% as the main performance, and other manifestations: anemia, weight loss, fever, pancreatitis, carcinoid syndrome. were treated by surgery and pathology confirmed 21 cases of radical resection and palliative resection in 8 cases, 2 cas