[Primary malignant tumors of the small intestine. A clinical report].
The clinical records and pathologic patterns of all the cases of primary small bowel malignancies, treated in the last 15 years, were reviewed. There were 12 patients: 8 men and 4 women ranged from 41 to 86 years old. Carcinoma was the most common (82%) followed by carcinoid and lymphoma (9%). The distribution of the malignancies showed preponderance in the proximal jejunum and duodenum. Multiple primary malignancies were found in 17% of enteric cancers. The most common presentation was pain (75%) followed by weight loss (58%), palpable mass, anemia and gastrointestinal bleeding (25%), obstruction (17%). Barium studies of the duodenum and of the small bowel, duodenal endoscopy were the most useful diagnostic tools but a correct preoperative diagnosis was made in only 42% of the patients. Curative resection was attempted in 67% of the cases. The prognosis is poor.
Clinica Chirurgica II, Policlinico San Matteo (IRCCS), Facoltà di Medicina e Chirurgia, Università degli Studi di Pavia.
F
F
Cabano
C
C
Cebrelli
C
C
Barbiggia
C F
CF
Cebrelli
P
P
Sfondrini
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002276:Carcinoid Tumor / Q000601:surgery; D002277:Carcinoma / Q000601:surgery; D004379:Duodenal Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery; D007580:Jejunal Neoplasms / Q000601:surgery; D008223:Lymphoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis
I tumori maligni primitivi del piccolo intestino. Contributo clinico.