title: [Adenocarcinoma of the small intestine. Current state of diagnosis and treatment. A study of 27 cases and a review of the literature].
abstract: On the basis of 27 personal cases of adenocarcinoma of the intestine and a review of the literature, the authors discuss present-day knowledge about this pathology from both radiologic and therapeutic viewpoints. This study, which excludes papillary tumors, reveals that, on a para-clinical level, barium follow-through examinations allow correct diagnosis in 85% of cases. Arteriography does not provide any special data, and more recent techniques such as ultrasound and C.T. do not appear suited for use in initial investigations. From a therapeutic standpoint, surgery is the only effective solution, but long-term survival had not increased for forty years. This rare form of cancer, with an especially insidious clinical course, has thus not benefited from recently introduced diagnostic and therapeutic technics.
mesh_terms: D000230:Adenocarcinoma / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery; D004384:Duodenoscopy; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011859:Radiography
vernacular_title: L'adénocarcinome de l'intestin grêle. Etat actuel du diagnostic et du traitement. Etude de 27 cas et revue de la littérature.