Resumo
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.
Duodenum; Cancer of the duodenum; Adenocarcinoma of the duodenum; Adenocarcinoma of the small bowel
Duodenum; Cancer of the duodenum; Adenocarcinoma of the duodenum; Adenocarcinoma of the small bowel
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 Endereço para correspondência: Dr. Hamilton Petry de Souza Rua Antonio Parreiras, 145/401 90450-050 - Porto Alegre-RS
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.
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Full text available only in PDF format.
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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- 2. Scott-Coombes DM, Williamson RCN: Surgical treatment of primary duodenal carcinoma: a personal series. British Journal of Surgery 1994; 81:1472-4.
- 3. Pickleman J, Koelsch M, Cheifec G: Node-positive duodenal carcinoma is curable. Arch Surg 1997; 132: 241-4.
- 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.
- 5. Zar N, Holmberg L, Wilander E, et al: Survival in small intestinal adeno- carcinoma. European Journal of Cancer 1996; 32: 2114-9.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
09 Fev 2010 -
Data do Fascículo
Abr 1999
Histórico
-
Aceito
04 Jan 1999 -
Recebido
29 Jun 1998
