Number of involved lymph nodes is important in the prediction of prognosis for primary duodenal adenocarcinoma

Liang, Tsung–Jung; Wang, Being-Whey; Liu, Shiuh–Inn; Chou, Nan‐Hua; Tsai, Cheng-Chung; Chen, I-Shu; Yeh, Ming-Hsin; Chen, Yu‐Chia; Chang, Po-Min; Mok, King-Tong

doi:10.1016/j.jcma.2012.08.002

Cited by 22 publications

(23 citation statements)

References 36 publications

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“…The most common complications after PD are delayed gastric emptying and pancreatic fistula. The pancreatic fistula rate in the present study was 9·3 per cent, which is comparable to that reported in the literature (0–20 per cent).…”

Section: Discussionsupporting

confidence: 84%

“…Morbidity and mortality rates associated with surgical treatment for resectable duodenal cancer are high. Reported morbidity rates are around 40 per cent, and mortality rates range between 0 and 8·5 per cent ( Table S3 , supporting information).…”

Section: Discussionmentioning

confidence: 99%

“…Surgical resection offers the only chance of cure. There are few published studies on outcomes after surgery owing to the rarity of this condition. These studies are characterized by a limited number of patients and long study periods, resulting in conflicting reported outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Outcome after surgical resection for duodenal adenocarcinoma in the UK

Solaini

Jamieson

Metcalfe

et al. 2015

British Journal of Surgery

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Outcome after surgical resection for duodenal adenocarcinoma in the UK

Solaini

Jamieson

Metcalfe

et al. 2015

British Journal of Surgery

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“…5,8,10,11,20,[22][23][24][25][26][27] In the largest single institution series of 122 patients who underwent PD for DA, LN involvement was found to be the only significant variable associated with survival on multivariate analysis. The 5-year survival was 68 % for node-negative patients, but only 17 % for those with N2 disease (defined as the presence of four or more positive nodes).…”

Section: Discussionmentioning

confidence: 95%

Does the Extent of Resection Impact Survival for Duodenal Adenocarcinoma? Analysis of 1,611 Cases

et al. 2014

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“…Performing a curative surgery, lymph node metastasis, and tumor stage were common significant prognostic factors in these studies (6,11,12). Moreover, patients with more than three lymph nodes positive for metastasis had significantly reduced overall survival (13). The estimated 5-year survival rates reach 46.4% after curative surgery (12).…”

Section: Discussionmentioning

confidence: 82%

Small bowel adenocarcinoma in a young male: a case report

Almajid¹,

Tanveer²,

Alamri³

et al. 2019

Electron. physician

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Introduction: Adenocarcinoma of the third part of the duodenum is a rare type of tumor that has challenges in its diagnosis and management. Segmental resection with pancreatic sparing is a safe and accepted choice for the surgical intervention of this type of cancer. Case Presentation: A 33-year-old male presented with a 3-week history of symptoms of gastric outlet obstruction with anemia and weight loss. Upon investigating the patient with computed tomography and esophagogastroduodenoscopy, he was found to have an adenocarcinoma that involved the third part of the duodenum. The patient underwent segmental resection of the third and fourth part of the duodenum with pancreatic sparing. He had a smooth postoperative course. The pathological evaluation shows a 3 cm moderately differentiated adenocarcinoma with free margins. Six out of thirteen lymph nodes were having metastasis. The patient developed a soft tissue recurrence 18 months after the operation. Takeaway Lessons: Adenocarcinoma of the third part of the duodenum should be kept in mind in any patient presented with symptoms of gastric outlet obstruction. It can be managed safely with segmental resection avoiding the morbidity of resection of the pancreas. Keywords: Adenocarcinoma of the small bowel, third part of the duodenum, segmental resection Note: This case report is prepared using the CARE Checklist (2013) of information to include when writing a case report (https://www.care-statement.org). The CARE guidelines for case reports help reduce bias, increase transparency, and provide early signals of what works, for which patients, and under which circumstance.

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Number of involved lymph nodes is important in the prediction of prognosis for primary duodenal adenocarcinoma

Abstract: Subdivision of metastatic lymph nodes into N1 and N2 improves predictive ability. The seventh edition American Joint Committee on Cancer staging system is applicable in the present study with regard to the prediction of the prognosis for primary duodenal adenocarcinoma.

Cited by 22 publications

References 36 publications

Outcome after surgical resection for duodenal adenocarcinoma in the UK

Outcome after surgical resection for duodenal adenocarcinoma in the UK

Does the Extent of Resection Impact Survival for Duodenal Adenocarcinoma? Analysis of 1,611 Cases

Small bowel adenocarcinoma in a young male: a case report

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