Surgical treatment and prognosis of primary duodenal carcinoma / 中华肿瘤杂志
Chinese Journal of Oncology
;
(12): 233-235, 2009.
Artigo
em Chinês
| 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>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cuidados Paliativos
/
Patologia
/
Cirurgia Geral
/
Taxa de Sobrevida
/
Estudos Retrospectivos
/
Seguimentos
/
Quimioterapia Adjuvante
/
Diagnóstico
/
Tratamento Farmacológico
/
Neoplasias Duodenais
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Oncology
Ano de publicação:
2009
Tipo de documento:
Artigo
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