Adenocarcinoma of the small intestine: 21-Year review of diagnosis,treatment, and prognosis |
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Authors: | Dr. Ronald L. Bauer MD Michael L. Palmer MD Andrea M. Bauer MSN RN CS Hector R. Nava MD Harold O. Douglass Jr. MD |
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Affiliation: | (1) Department of Surgical Oncology, Roswell Park Cancer Institute, Elm and Carlton Streets, 14263 Buffalo, NY, USA |
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Abstract: | Background: The purpose of this study was to evaluate the tumor characteristics and treatment associated with an improved overall survival in patients with adenocarcinoma of the small intestine.Methods: The records of all patients with primary adenocarcinoma of the small bowel seen between January 1971 and December 1991 were reviewed retrospectively. The study comprised 38 patients, 22 (58%) with duodenal tumors, 11 (29%) with jejunal tumors, and five (13%) with ileal tumors.Results: Although not statistically significant, the patients with duodenal adenocarcinoma lived longer than the patients with jejunal or ileal lesions (p=0.77). The overall survival was 23% and seemed to correlate best with absence of lymph node metastases (p=0.04) and pancreaticoduodenectomy for localized duodenal tumors (p=0.04). The patient's age, duration of symptoms, disease-free interval, tumor location, type of recurrence, and histologic grade did not significantly influence survival.Conclusions: The lethality of small-intestinal adenocarcinoma appears to be related to a delay in diagnosis and treatment. When a definitive surgical procedure is performed before lymph node metastases appear, the patient's chance for long-term survival is greatly improved.Presented at the 46th Annual Cancer Symposium of The Society of Surgical Oncology, Los Angeles, California, March 18–21, 1993. |
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Keywords: | Adenocarcinoma Small intestine |
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