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  • Title: [Surgical treatment and prognosis of primary duodenal carcinoma].
    Author: Qu H, Tian YT, Sun YM, Wang CF, Shan Y, Zhao DB, Zhao P.
    Journal: Zhonghua Zhong Liu Za Zhi; 2009 Mar; 31(3):233-5. PubMed ID: 19615269.
    Abstract:
    OBJECTIVE: To investigate the clinicopathological features, surgical treatment and prognosis of primary carcinoma of the duodenum. METHODS: The clinicopathological data of 86 patients with primary duodenal carcinoma from January 1996 to June 2007 were retrospectively reviewed and analyzed by SPSS 13.0. RESULTS: The clinical manifestation includes upper abdominal pain, jaundice, anemia, gastrointestinal obstruction, melena and weight loss. Four patients had a tumor located in the first portion of the duodenum, 66 in the second portion, 12 in the third portion and 4 in the fourth portion. The preoperative correct diagnostic rate by BUS was 41.7%, by CT 69.4%, by MRI 75.0%, by duodenal endoscopy 84.0%, and by air barium double radiography 80.9%. Complete resection of the tumors was achieved in 38 patients, palliative resection in 45 cases, and exploration alone in 3 cases. The median survival time of the group with complete resection was 42 months versus 13 months in the group with palliative resection, with a significant difference between the two groups (P < 0.05). CONCLUSION: Primary carcinoma of the duodenum has no specific symptoms. Early diagnosis and complete resection are effective to improve prognosis.
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