原发性十二指肠癌的误诊分析（Analysis of misdiagnosis of primary twelve finger colon cancer）.docVIP

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原发性十二指肠癌的误诊分析（Analysis of misdiagnosis of primary twelve finger colon cancer）.doc

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原发性十二指肠癌的误诊分析（Analysis of misdiagnosis of primary twelve finger colon cancer）

原发性十二指肠癌的误诊分析（Analysis of misdiagnosis of primary twelve finger colon cancer） Analysis of misdiagnosis of primary twelve finger colon cancer 2011-04-03 Gu Yan, Zhou Shaojuan, Fan Daiming Primary twelve finger colon cancer (not including periampullary carcinoma) is rare in clinic, because of its insidious onset, clinical and Lack of specific manifestations, easily misdiagnosed. Xijing Hospital has been confirmed by operation and pathology since 1981~1995 years For 34 cases of primary twelve finger colon cancer, 27 of them were misdiagnosed, and the misdiagnosed cases were analyzed. clinical data 27 cases were misdiagnosed, 16 cases were male, 11 cases were female. Age 37~72 years, average age 52.2 years old. The course of disease was 7 days 2 years, an average of 10.2 months. The clinical manifestations of 19 cases with abdominal pain, 16 cases of jaundice, 10 cases of anemia, melena and hematemesis There were 3 cases of gastrointestinal obstruction and fever, 2 cases with abdominal mass in 9 cases. 16 patients with elevated bilirubin, positive fecal occult blood 13 For example, hemoglobin, g/L, 12 cases. Of the 30 cases of B-ultrasound examination, only 3 cases were diagnosed as twelve finger colon cancer and barium gastrointestinal examination 12 cases were diagnosed by meal, 4 cases were diagnosed. At the time of admission, 7 cases were misdiagnosed as periampullary carcinoma, 6 cases with cholecystitis and cholelithiasis 4 cases of ulcer bleeding, 3 cases of ulcer and pyloric obstruction, 3 cases of icteric hepatitis, 3 cases of anaemia, 1 cases of fever of unknown origin. After admission, 10 cases were examined by gastroscopy, 6 cases were diagnosed by direct vision, twelve cases with colon cancer, 2 cases with bulbar ulcer, 2 cases with no lesions; Of the 8 cases, 5 cases were adenocarcinoma, 3 cases were chronic inflammation. In 13 cases of duodenal papilla, 12 cases of papillary mass were found, 1 cases were negative, 12 cases were adenocarcinoma, 8 cases wer