Surgical treatment and prognosis of primary duodenal carcinoma / 中华肿瘤杂志
Chinese Journal of Oncology
;
(12): 233-235, 2009.
Article
in Chinese
| WPRIM
| ID: wpr-293144
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinicopathological features, surgical treatment and prognosis of primary carcinoma of the duodenum.</p><p><b>METHODS</b>The clinicopathological data of 86 patients with primary duodenal carcinoma from January 1996 to June 2007 were retrospectively reviewed and analyzed by SPSS 13.0.</p><p><b>RESULTS</b>The clinical manifestation includes upper abdominal pain, jaundice, anemia, gastrointestinal obstruction, melena and weight loss. Four patients had a tumor located in the first portion of the duodenum, 66 in the second portion, 12 in the third portion and 4 in the fourth portion. The preoperative correct diagnostic rate by BUS was 41.7%, by CT 69.4%, by MRI 75.0%, by duodenal endoscopy 84.0%, and by air barium double radiography 80.9%. Complete resection of the tumors was achieved in 38 patients, palliative resection in 45 cases, and exploration alone in 3 cases. The median survival time of the group with complete resection was 42 months versus 13 months in the group with palliative resection, with a significant difference between the two groups (P < 0.05).</p><p><b>CONCLUSION</b>Primary carcinoma of the duodenum has no specific symptoms. Early diagnosis and complete resection are effective to improve prognosis.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palliative Care
/
Pathology
/
General Surgery
/
Survival Rate
/
Retrospective Studies
/
Follow-Up Studies
/
Chemotherapy, Adjuvant
/
Diagnosis
/
Drug Therapy
/
Duodenal Neoplasms
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Screening study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Oncology
Year:
2009
Type:
Article
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