Related Experiment Videos
[Duodenal cancer]
J C Morales Linares1, T J Gómez Méndez, C Chan
1Departamento de Cirugía, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
Unlabelled:
To analyze the general characteristics and outcome of a cohort of 6 patients with malignant duodenal tumors who underwent surgical radical resection.
Design:
Longitudinal retrolective study.
Setting:
A third level medical center.
Results:
Mean age was 48 years. M/F ratio was 2:1. The most frequent symptom was duodenal obstruction. Mean time between the beginning of the symptoms and the correct diagnosis was 15 months. Five of six patients demonstrated abnormalities on gastrointestinal X rays. All patients underwent Whipple resection, this was curative in 2, palliative in 2 more and not evaluated in two cases due to operative mortality. Five tumors were adenocarcinomas and one a carcinoid tumor. The long-term mortality occurred in 2 patients.
Conclusions:
The diagnosis of primary duodenal carcinoma needs a deep clinical suspicion, some patients when treated by radical resection may experience long-term survival.