title: [Diagnostic and treatment problems in primary malignant tumors of the small intestine].
abstract: Between 1984-1994, 8 cases of MTSI (7 males and one female, between 24-53 years age) have been operated in our Department, representing 2% from all malignant gastrointestinal tumours. The pain as a result of the obstruction, followed by chronic blood loss with anemia and perforation, (4 patients operated in emergency) were the most frequent symptoms, the tumors being localised on jejunum (3) and ileum (5) with a diameter to 3-15 cm. Lymphatic (4), hepatic (2) and peritoneal (I) metastases were present. We performed a wide resection of the bowel and mesentery, including lymph nodes (in 4 cases with radical intention). Histopathological findings: 4 adenocarcinoma, 3 leiomyosarcoma and a lymphoma. Postoperative treatment was selective and consisted in polychemotherapy (PCT) and cobalt therapy (60Co). There was no postoperative mortality, two local recurrences in 6 month. Survival rate at 5 patients was 32 month. At 5 years were in life 2 leiomyosarcoma and 1 adenocarcinoma and at 7 yrs, 1 leiomyosarcoma and 1 adenocarcinoma.
authors.affiliation: Spitalul Clinic Colţea, Bucureşti.
authors.forename: N
authors.initials: N
authors.lastname: Angelescu
authors.forename: N
authors.initials: N
authors.lastname: Jitea
authors.forename: D
authors.initials: D
authors.lastname: Cristian
authors.forename: S
authors.initials: S
authors.lastname: Voiculescu
authors.forename: C
authors.initials: C
authors.lastname: Mateescu
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D008223:Lymphoma / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D012189:Retrospective Studies
vernacular_title: Probleme de diagnostic şi tratament în tumorile primitive maligne ale intestinului subţire.