Primary Duodenal Adenocarcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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Department of Surgery, Central Hospital of Jinshan, Shanghai 201500;

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Primary Duodenum Adenocarcinoma

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Objective To improve the diagnosis and treatment of primary adenocarcinoma of the duodenum. MethodsLiteratures were reviewed.ResultsThe morbidity of primary duodenal adenocarcinoma was low and its clinical manifestation had no characteristics.The most effective methods in the diagnosis of the disease were gastrointestinal radiography and endoscopy with the accuracy of 88% and 89% respectively.The disease could be cured by resection of the lesion. The selection of operative type depended on the stage and position of the tumor.Radical resection and tumor stage played an important role in the prognosis.Conclusion Early diagnosis and rational operation are the major ways to improve the resectability and to modify the therapeutic result.

Citation： HU Jun,JIN Qingfeng.. Primary Duodenal Adenocarcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(5): 367-369. doi: Copy

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8.	Pickleman J,Koelsch M,Chejfec G. Nodepositive duodenal carcinoma is curable [J]. Arch Surg,1997； 132（3）∶241.
9.	Maher MM,Yeo CJ,Lillemoe KD, et al. Pancreassparing duodenectomy for infraampullary duodenal pathology [J]. Am J Surg,1996； 171（1）∶62.
10.	Stephens J, Kuhn J, O’Brien J, et al. Surgical morbidity, mortality, and longterm survival in patients with peripancreatic cancer following pancreaticoduodenectomy [J]. Am J Surg, 1997； 174（6）∶600.
11.	Yeo CJ,Sohn TA,Cameron JL,et al. Periampullary adenocarcinoma: analysis of 5year survivors [J]. Ann Surg,1998； 227（6）∶821.
12.	Fronticelli CM,Borghi F,Gattolin A,et al. Primary adenocarcinoma of the angle of Trietz: case report and review of the literature [J].Arch Surg,1996； 131（10）∶1109.
13.	Kaklamanos IG, Bathe OF, Franceschi D, et al. Extent of resection in the management of duodenal adenocarcinoma [J]. Am J Surg,2000; 179(1)∶37.
14.	夏培君，张在厚. 原发性十二指肠肿瘤62例临床分析（附141例国内文献复习） [J].南京铁道医学院学报，1998; 17（1）∶60.
15.	Pastore C,D’Annibale A,Fregonese D,Conte C,et al. Malignant tumors of the small intestine: review of the literature and report of a clinical case [J]. Minerva Chir, 1993； 48（23-24）∶1471.
16.	ScottCoombes DM,Williamson RCN. Surgical treatment of primary duodenal carcinoma: a personal series [J]. Br J Surg, 1994； 81（10)∶1472.
17.	刘金新，黄昆，韩继光,等.原发性十二指肠肿瘤的诊断（附41例分析） [J]. 蚌埠医学院学报，1998； 23（2）∶108.
18.	Bakaeen FG，Murr MM, Sarr MG, et al. What prognostic factors are important in duodenal adenocarcinoma? [J] . Arch Surg, 2000； 135(6)∶635.
19.	Ryder NM, Ko CY, Hines OJ, et al. Primary duodenal adenocarcinoma: a 40year experience [J]. Arch Surg, 2000; 135(9)∶1070.

1. Sexe RB,Wade TP,Virgo KS, et al. Incidence and treatment of periampullary duodenal cancer in the U.S. veteran patient population [J]. Cancer, 1996； 77（2）∶251.
2. Heniford BT,Iannitti DA,Evans P,et al. Primary nonampullary/periampullary adenocarcinoma of the duodenum [J].Am Surg,1998； 64（12）∶1165.
3. Santoro E,Sacchi M,Scutari F,et al. Primary adenocarcinoma of the duodenum: treatment and survival in 89 patients [J]. Hepatogastroenterology,1997； 44（16）∶1157.
4. Younes N,Fulton N,Tanaka R,et al. The presence of K12 ras mutations in doudenal adenocarcinomas and the absence of ras mutations in other small bowel adenocarcinomas and carcinoid tumors [J].Cancer,1997； 79（9）∶1804.
5. Sutter T,Arber N,Moss SF, et al. Frequent Kras mutations in small bowel adenocarcinomas [J]. Dig Dis Sci,1996； 41（1）∶115.
6. Rose DM,Hochwald SN,Klimstra DS, et al. Primary duodenal adenocarcinoma： a tenyear experience with 79 patients [J].J Am Coll Surg,1996； 183（2）∶89.
7. Yeo CJ,Cameron JL,Sohn TA,et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications,and outcomes [J]. Ann Surg, 1997； 226（3）∶248.
8. Pickleman J,Koelsch M,Chejfec G. Nodepositive duodenal carcinoma is curable [J]. Arch Surg,1997； 132（3）∶241.
9. Maher MM,Yeo CJ,Lillemoe KD, et al. Pancreassparing duodenectomy for infraampullary duodenal pathology [J]. Am J Surg,1996； 171（1）∶62.
10. Stephens J, Kuhn J, O’Brien J, et al. Surgical morbidity, mortality, and longterm survival in patients with peripancreatic cancer following pancreaticoduodenectomy [J]. Am J Surg, 1997； 174（6）∶600.
11. Yeo CJ,Sohn TA,Cameron JL,et al. Periampullary adenocarcinoma: analysis of 5year survivors [J]. Ann Surg,1998； 227（6）∶821.
12. Fronticelli CM,Borghi F,Gattolin A,et al. Primary adenocarcinoma of the angle of Trietz: case report and review of the literature [J].Arch Surg,1996； 131（10）∶1109.
13. Kaklamanos IG, Bathe OF, Franceschi D, et al. Extent of resection in the management of duodenal adenocarcinoma [J]. Am J Surg,2000; 179(1)∶37.
14. 夏培君，张在厚. 原发性十二指肠肿瘤62例临床分析（附141例国内文献复习） [J].南京铁道医学院学报，1998; 17（1）∶60.
15. Pastore C,D’Annibale A,Fregonese D,Conte C,et al. Malignant tumors of the small intestine: review of the literature and report of a clinical case [J]. Minerva Chir, 1993； 48（23-24）∶1471.
16. ScottCoombes DM,Williamson RCN. Surgical treatment of primary duodenal carcinoma: a personal series [J]. Br J Surg, 1994； 81（10)∶1472.
17. 刘金新，黄昆，韩继光,等.原发性十二指肠肿瘤的诊断（附41例分析） [J]. 蚌埠医学院学报，1998； 23（2）∶108.
18. Bakaeen FG，Murr MM, Sarr MG, et al. What prognostic factors are important in duodenal adenocarcinoma? [J] . Arch Surg, 2000； 135(6)∶635.
19. Ryder NM, Ko CY, Hines OJ, et al. Primary duodenal adenocarcinoma: a 40year experience [J]. Arch Surg, 2000; 135(9)∶1070.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Primary Duodenal Adenocarcinoma

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