(1) Background: Tumors of the small bowel represent 3–6% of gastrointestinal neoplasms and 3–6% of GI malignancies. The difficulties regarding the diagnosis are associated with larger tumors at the moment of the diagnosis and with advanced forms of malignant tumors, associated with a dismal prognosis. (2) Methods: We performed an observational, retrospective, cohort study that included patients with small bowel tumors admitted to the Craiova County Emergency Clinic Hospital between 1 January 2017 and 31 December 2023. The data were collected from the analysis of the patient’s discharge documents from the Hippocrates computer system of the hospital and the evaluation of endoscopy databases. Patients under 16 years of age, those with no pathological confirmation of the malignancy, and those with insufficient data were excluded. (3) Results: A total of 80 cases of small bowel tumors were diagnosed; 72.5% were malignant, of which 10.3% were metastases. The most frequent primary malignant small bowel tumor was adenocarcinoma; two squamous cell carcinomas were noted. CT scans and upper digestive endoscopy represent the most frequent imaging methods for the diagnosis. The prognosis for malignant tumors was poor, with a 41% 5-year survival rate. (4) Conclusions: Small bowel tumors are rarely encountered, with 72.5% being malignant, and were diagnosed at large dimensions and in advanced stages for malignant tumors, with a dismal prognosis.
（1）背景：小肠肿瘤占胃肠道肿瘤的3-6%，占胃肠道恶性肿瘤的3-6%。其诊断难点在于确诊时肿瘤体积通常较大，且多为晚期恶性肿瘤，预后较差。 （2）方法：本研究为一项观察性、回顾性队列研究，纳入2017年1月1日至2023年12月31日期间克雷奥瓦县急诊临床医院收治的小肠肿瘤患者。数据来源于医院希波克拉底计算机系统的患者出院记录分析及内镜检查数据库评估。排除年龄小于16岁、恶性肿瘤未经病理学证实及资料不全的患者。 （3）结果：共诊断80例小肠肿瘤，其中72.5%为恶性（含10.3%转移性肿瘤）。最常见的原发性恶性小肠肿瘤为腺癌，另发现2例鳞状细胞癌。CT扫描与上消化道内镜检查是最常用的影像学诊断方法。恶性肿瘤预后不良，5年生存率为41%。 （4）结论：小肠肿瘤较为罕见，其中72.5%为恶性；恶性肿瘤确诊时多已体积较大且处于晚期阶段，预后较差。
Small Bowel Tumors: A 7-Year Study in a Tertiary Care Hospital
肿瘤(癌症)患者之家