INTESTINE Vol.15 No.2(1-1)


特集名 小腸腫瘍をめぐって
題名 [総論]小腸腫瘍の種類と頻度
発刊年月 2011年 02月
著者 八尾 隆史 順天堂大学医学部人体病理病態学
【 要旨 】 小腸腫瘍の頻度は全消化管腫瘍の5%以下とまれである.良性から悪性までさまざまな病変が存在するが,小腸腫瘍の2/3は悪性とされている.良性腫瘍では,平滑筋腫,脂肪腫,血管系腫瘍,神経系腫瘍,腺腫,リンパ管腫がおもなものである.悪性では腺癌,カルチノイド,悪性リンパ腫,GIST(gastrointestinal stromal tumor)でほとんど(90%以上)を占める.悪性のものはかなり進行した状態で発見されることが多いため予後は不良なものが多い.近年の小腸検査法の進歩に伴い,早期発見による予後改善が望まれる.
Theme Recent advances in the diagnosis and management of small intestinal tumor
Title Small intestinal tumors and their incidence
Author Takashi Yao Department of Human Pathology, Juntendo University School of Medicine
[ Summary ] The incidence of neoplasms in the small intestine accounts for less than 5 % of all gastrointestinal neoplasms. Various kinds of tumors are identified in the small intestine and two thirds are found to be malignant. The comparatively frequent types of benign lesions observed are leiomyomas, lipomas, vascular tumors, neurogenic tumors, adenomas and lymphangiomas. Most (90 %) of malignant lesions are categorized as adenocarcinomas, carcinoid tumors, malignant lymphomas, or GISTs(gastrointestinal stromal tumors) . The prognosis for malignancy in the small intestine is poor because of the advanced stage at which they are often initially observed. It is expected that in the future prognoses related to malignant diseases in the small intestine will be improved through early diagnosis, thanks to recent progress in procedures for detecting disease in the small intestine.
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