常见的小肠肿瘤(中英文).ppt

Small Bowel Tumors Back ground Small bowel tumours are rare, accounting for 3-6% of gastrointestinal [ˌgæstroʊɪnˈtestɪnl] tumors The clinical presentation is non-specific Symptoms [sɪmptəmz] include anemia (贫血), gastro-intestinal bleeding (胃肠道出血), abdominal pain (腹痛) or small bowel obstruction (小肠梗阻) Back ground The most common small bowel malignancies: Adenocarcinoma [ˌædnəʊˌkɑ:sənəʊmə] Lymphoma[lɪmˈfoʊmə] Carcinoid[kɑ:səˌnɔɪd] GIST (Gastrointestinal stromal tumors) [ˌgæstroʊɪnˈtestɪnl] （HNPCC）Hereditary nonpolyposis colorectal cancer遗传性非息肉病性大肠癌 [həˈredɪteri]遗传的 [nɒn] [ˌpɒləpoʊsɪs] 非息肉病的[ˌkoʊlərektəl] 结肠直肠的 Familial adenomatous polyposis 家族性腺瘤性息肉病 [ædɪnɒmətəs]腺瘤（状）的 [ˌpɒləpoʊsɪs] Peutz-Jeghers syndrome (PJS) 黑斑息肉病 （Diff.Diagn.）differential diagnosis[ˌdɪfəˈrɛnʃəl ˌdaɪəɡˈnosɪs] 鉴别诊断 aneurysmal dilatation [ænjʊərɪzməl]  [ˌdɪləˈteɪʃən, ˌdaɪlə-]动脉瘤样扩张 sclerosing mesenteritis [sklɪərəʊsɪŋ] [mesənˈteraɪtɪs] 硬化性肠系膜炎 Adenocarcinoma [ˌædnəʊˌkɑ:sənəʊmə] Adenocarcinoma represents 25-40% of all small bowel neoplasms[ni:oʊplæzəm] However colon carcinoma [ˈkolən ˌkɑrsəˈnomə] is 50 times more common 50% of small bowel adenocarcinomas occur in the duodenum [ˌdu:əˈdi:nəm] and most of these are found with endoscopy [enˈdɑ:skəpi] The jejunum [dʒɪdʒu:nəm] is the second most prevalent site Adenocarcinoma Stenotic lesion in the duodenum as a result of an adenocarcinoma (yellow arrow) Not possible to separate from the pancreas (red arrow) Pre-stenotic dilatation of the duodenum Adenocarcinoma The typical imaging representation of a small bowel adenocarcinoma is a focal unilocular, circumferential mass with shouldering of the margins and obstruction Less frequently adenocarcinomas present as an intraluminal polypoid mass, which can lead to intussusception Ulceration is a quite common feature Extraluminal infiltration can present as fat stranding Adenocarcinoma A duodenal carcinoma presenting as irregular wall thickening in the distal