Abstract
Six primary duodenal tumours were diagnosed in our 300 bed institute during a period of 10 years. Two patients had benign tumours (leiomyoma and carcinoid) and four had malignant tumours (adenocarcinoma). The most common manifestation was severe iron deficiency anemia. Diagnosis was usually delayed (with a mean time of 7.7 months from initial complaints), endoscopy being the most common and useful diagnostic tool. A curative procedure was performed in two patients. Patients with unexplained chronic iron deficiency anaemia should undergo thorough gastrointestinal evaluation, including the small intestine, as a curable disease may be found to be the source of the complaint.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alwmark A., Andersson A., Lasson A. Primary carcinoma of the duodenum. Ann Surg. 1980 Jan;191(1):13–18. doi: 10.1097/00000658-198001000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ashley S. W., Wells S. A., Jr Tumors of the small intestine. Semin Oncol. 1988 Apr;15(2):116–128. [PubMed] [Google Scholar]
- Bruno M. S., Fein H. D. Primary malignant and benign tumors of the duodenum. A study of 18 cases stressing the clinical and roentgenographic features. Arch Intern Med. 1970 Apr;125(4):670–679. [PubMed] [Google Scholar]
- DARLING R. C., WELCH C. E. Tumors of the small intestine. N Engl J Med. 1959 Feb 26;260(9):397–408. doi: 10.1056/NEJM195902262600901. [DOI] [PubMed] [Google Scholar]
- GOOD C. A. Tumors of the small intestine. Am J Roentgenol Radium Ther Nucl Med. 1963 Apr;89:685–705. [PubMed] [Google Scholar]
- Joesting D. R., Beart R. W., Jr, van Heerden J. A., Weiland L. H. Improving survival in adenocarcinoma of the duodenum. Am J Surg. 1981 Feb;141(2):228–231. doi: 10.1016/0002-9610(81)90163-x. [DOI] [PubMed] [Google Scholar]
- Maimon H. N., Brady P. G., Milligan F. D. Endoscopic diagnosis of duodenal neoplasms. Johns Hopkins Med J. 1973 Apr;132(4):206–211. [PubMed] [Google Scholar]
- Michelassi F., Erroi F., Dawson P. J., Pietrabissa A., Noda S., Handcock M., Block G. E. Experience with 647 consecutive tumors of the duodenum, ampulla, head of the pancreas, and distal common bile duct. Ann Surg. 1989 Oct;210(4):544–556. doi: 10.1097/00000658-198910000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ostermiller W., Joergenson E. J., Weibel L. A clinical review of tumors of the small bowel. Am J Surg. 1966 Mar;111(3):403–409. doi: 10.1016/s0002-9610(66)80019-3. [DOI] [PubMed] [Google Scholar]
- ROCHLIN D. B., LONGMIRE W. P., Jr Primary tumors of the small intestine. Surgery. 1961 Oct;50:586–592. [PubMed] [Google Scholar]
- Sharon P., Stalnikovicz R., Rachmilewitz D. Endoscopic diagnosis of duodenal neoplasms causing upper gastrointestinal bleeding. J Clin Gastroenterol. 1982 Feb;4(1):35–38. doi: 10.1097/00004836-198202000-00006. [DOI] [PubMed] [Google Scholar]
- Trede M., Schwall G. The complications of pancreatectomy. Ann Surg. 1988 Jan;207(1):39–47. doi: 10.1097/00000658-198801000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wald A., Milligan F. D. The role of fiberoptic endoscopy in the diagnosis and management of duodenal neoplasms. Am J Dig Dis. 1975 Jun;20(6):499–505. doi: 10.1007/BF01074933. [DOI] [PubMed] [Google Scholar]
- Weiss N. S., Yang C. P. Incidence of histologic types of cancer of the small intestine. J Natl Cancer Inst. 1987 Apr;78(4):653–656. [PubMed] [Google Scholar]