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[Primary small intestine malignancies]

E Schippers, S Langer, W Flosdorff

    Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
    |June 1, 1982
    PubMed
    Summary
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    Malignant small intestine tumors are rare but often diagnosed late, leading to widespread metastasis. Early detection through specific symptoms and diagnostic imaging is crucial for curative resection and improved patient outcomes.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Diagnostic Imaging

    Background:

    • Malignant small intestine tumors represent 1% of all digestive tract malignancies.
    • Autopsies reveal small intestine tumors in 4% of digestive tract cancer cases.
    • Significant diagnostic delays are common, averaging 12 months from symptom onset to operative therapy.

    Purpose of the Study:

    • To highlight the diagnostic challenges and outcomes associated with small intestine tumors.
    • To emphasize the importance of early diagnosis for curative resection.
    • To outline diagnostic pathways for suspected small intestine malignancies.

    Main Methods:

    • Retrospective analysis of small intestine tumor cases.
    • Review of diagnostic methods including X-ray, gastroduodenoscopy, and angiography.

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  • Evaluation of surgical outcomes and metastasis rates.

    • Main Results:

    • 80% of cases presented with local or distant metastases.
    • Curative resection was only possible in 5 out of 11 cases.
    • Many tumors were incidentally discovered during autopsy, indicating delayed diagnosis.

    Conclusions:

    • Early diagnosis of small intestine tumors is critical for enabling curative resection.
    • Subtle symptoms like abdominal pain and occult bleeding warrant thorough investigation.
    • If initial imaging is inconclusive, early surgical exploration (laparotomy) should be considered.