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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991

Rev. Col. Bras. Cir. vol.26 no.2 Rio de Janeiro Mar./Apr. 1999

http://dx.doi.org/10.1590/S0100-69911999000200011 

RELATOS DE CASOS

 

Adenocarcinoma primário de duodeno

 

Adenocarcinoma of the duodenum

 

 

Hamilton Petry de Souza, TCBC-RSI; Marcelo GarciaTonetoII; André BonfantiIII; Gilmara PandolfoIV

IProfessor Auxiliar da Disciplina de Cirurgia Abdominal e Coordenador do Departamento de Cirurgia da FAMED - PUC-RS; Chefe da Residência em Cirurgia do Trauma do HPS-PA
IICirurgião do HSL. Aluno do Curso de Pós-Graduação (Mestrado) da FAMED - PUC-RS
IIIMédico Residente no 2° ano da Residência em Cirurgia Geral de HSL
IVDoutoranda da FAMED - PUC-RS

Endereço para correspondência

 

 


ABSTRACT

Primary adenocarcinoma of the duodenum is an extremely rare disease, and represents only 0.35 % of all gastrointestinal malignies. Early detection of the disease is dificult because doesn't have pathognomonic simptoms. The Whipple procedure is the optimal method of treatment. The authors relate one case of a adenocarcinoma of the duodenum in a 65- year-old white female with a history of abdominal pain for a six-month period, associated with postprandial fullness, vomiting and weight loss. Endoscopy showed a elevated tumor in the second part of the duodenum, with partial obstruction of the lumen. Histological study of endoscopic biopsies reveled a moderare differentiated adenocarcinoma of the duodenum. The treatment was surgical. The authors comment on the more important aspects of this pathology.

Key words: Duodenum; Cancer of the duodenum; Adenocarcinoma of the duodenum; Adenocarcinoma of the small bowel.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. Sexe RB, Wade TP, Virgo KS, et al: Incidence and treatment of peri-ampullary duodenal cancer in the U.S. veteran patient population. American Cancer Society 1996; 77: 251-4.         [ Links ]

2. Scott-Coombes DM, Williamson RCN: Surgical treatment of primary duodenal carcinoma: a personal series. British Journal of Surgery 1994; 81:1472-4.         [ Links ]

3. Pickleman J, Koelsch M, Cheifec G: Node-positive duodenal carcinoma is curable. Arch Surg 1997; 132: 241-4.         [ Links ]

4. Chow JS, Chen CC, Ahsan H, et al: A population-based study of the incidence of malignant small bowel tumours: SEER, 1973 - 1990. International Journal of Epidemiology 1996; 25: 722-8.         [ Links ]

5. Zar N, Holmberg L, Wilander E, et al: Survival in small intestinal adeno- carcinoma. European Journal of Cancer 1996; 32: 2114-9.         [ Links ]

 

 

Endereço para correspondência:
Dr. Hamilton Petry de Souza
Rua Antonio Parreiras, 145/401
90450-050 - Porto Alegre-RS

Recebido em 29/6/98
Aceito para publicação em 4/1/99

 

 

Trabalho realizado no Serviço de Cirurgia Geral do Hospital São Lucas - HSL - PUC-RS e Departamento de Cirurgia da Faculdade de Medicina da PUC-RS.

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