title: Primary tumours of the small intestine in Jamaica.
abstract: A review of 60 patients with primary small bowel tumours seen at the University Hospital, Jamaica, during the 15 year period 1971-1985, revealed that adenocarcinoma was the commonest tumour (27%), followed by smooth muscle tumour (23%), and carcinoids (11%). There were 32 malignant and 28 benign tumours. The mean age at presentation was 56 years, with a range of 4 to 85 years. The most common clinical presentation was intestinal obstruction, followed by pain, weight loss, abdominal mass and intussusception. In the majority of patients the diagnosis was not made preoperatively, and 80% with adenocarcinoma had lymph node metastases. Increased awareness of the diagnosis in symptomatic patients may result in improved survival.
authors.affiliation: Department of Medicine, University Hospital, Kingston, Jamaica W.I.
authors.forename: M G
authors.initials: MG
authors.lastname: Lee
authors.forename: M
authors.initials: M
authors.lastname: McFarlane
authors.forename: J M
authors.initials: JM
authors.lastname: Branday
authors.forename: N
authors.initials: N
authors.lastname: Williams
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002276:Carcinoid Tumor / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007078:Ileal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D007563:Jamaica; D007580:Jejunal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D012509:Sarcoma / Q000473:pathology