PMID: 7820475Oct 1, 1994Paper

Surgical treatment of primary duodenal carcinoma: a personal series

The British Journal of Surgery
D M Scott-Coombes, R C Williamson

Abstract

In a personal series, 22 patients (11 men, 11 women) of median age 60 (range 25-81) years with primary duodenal adenocarcinoma underwent operation between 1979 and 1993. Tumours arising from bile duct, ampullary or pancreatic tissue were excluded. Principal presenting symptoms were jaundice (12 patients), pain (seven), anaemia (six) and vomiting (six). A pre-existing villous adenoma was seen in 11 patients and adjacent duodenal dysplasia in 13. Sites of origin were mostly the second part of the duodenum (18 patients) but also the third and fourth parts (two each). Seventeen patients underwent 'curative' resection with one hospital death at 25 days; the 5-year survival rate thereafter was 40 per cent. Five patients who received palliative surgery survived for a median of 7 months. Primary duodenal carcinoma is a distinct entity with a better prognosis than pancreatic cancer after radical resection. It favours the descending duodenum and is closely linked with villous adenoma and epithelial dysplasia.

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Citations

Jun 30, 2009·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Junhyun LeeWook Kim
Jul 26, 2006·Digestive Diseases and Sciences·Stephan M WildiDieter Hahnloser
Jan 18, 2007·Digestive Diseases and Sciences·Yoshiki KatakuraFumio Itoh
Aug 2, 2012·The Indian Journal of Surgery·Sarfaraz Jalil Baig
Apr 2, 2013·The Indian Journal of Surgery·Ajay Mandal, Sarfaraj Baig
Aug 28, 2004·Gastrointestinal Endoscopy·Darius ApelJürgen Ferdinand Riemann
Jul 14, 2001·ANZ Journal of Surgery·R R HutchinsS J Snooks
Apr 21, 2007·Journal of Gastroenterology and Hepatology·Fu-Chih HungChi-Sin Chang Chien
Jul 5, 2012·Case Reports in Gastroenterology·Takashi AndoToshikazu Yoshikawa
Sep 21, 2010·BMC Gastroenterology·Peter T KalogerinisAlexandros G Georgakilas
Oct 27, 2011·International Surgery·Hiroshi KawahiraHisahiro Matsubara
Apr 8, 2014·World Journal of Gastroenterology : WJG·Yi-Bin XieYan-Tao Tian
Aug 1, 2008·World Journal of Surgery·Hyung Geun LeeDong Wook Choi
Mar 29, 2000·American Journal of Surgery·I G KaklamanosA S Livingstone
Aug 11, 2007·International Journal of Radiation Oncology, Biology, Physics·Chris R KelseyBrian G Czito
Mar 1, 1995·The British Journal of Surgery·D Scott-CoombesJ Thompson
Sep 26, 2014·World Journal of Gastroenterology : WJG·Naomi KakushimaHiroyuki Ono
Apr 17, 2009·European Journal of Gastroenterology & Hepatology·Apel Dariusz, Rudi Jochen
Oct 17, 2019·Journal of Gastroenterology and Hepatology·Masaki TakinamiHiroyuki Ono
Mar 10, 2007·Annals of the Royal College of Surgeons of England·D R C SpaldingR C N Williamson

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