Primary malignant disease of the small intestine

Primary Malignant Tumours in the Small Intestine, with Special Reference to their Roentgen Diagnosis(A survey, and a report of one case)

“…SHALLOW et al (7) very appropriately say that primary malignant tumours in the small intestine are a challenge to modern surgery on account of their infrequency, the difficulty in diagnosing them at an early stage. Also, they demand great technical skill, the operation mortality is great and the prognosis grave.…”

“…The corresponding figures for sarcoma are 984 and 598, i. e. 60. 7 per cent of the intestinal sarcomata were situated in the small intestine (7). SHALLOW et al have also collected 269 cases of primary malignant tumours of the small intestine stated at operation.…”

Neurosarcoma Duodeni

“…Primary malignancy of the small bowel is present in about 1 0/00 of all sections (12). Most of these cases are those of carcinoma and FRANK & al.…”

Carcinoma of the duodenum.

“…INCIDENCE Ewing (1931) states that the incidence of malignant tumours of the small intestine is 3% of neoplasms of the gastrointestinal tract. Shallow, Eger, and Carty (1944) reported the incidence of primary carcinoma of the duodenum in a study of 350,286 necropsies as 003%; the duodenum is affected in 45.6 % of cases of small intestinal neoplasms. In this series care was taken to exclude undifferentiated neoplasms of the ampulla of Vater and of the biliary and pancreatic systems, all of which are mixed with the figures for the incidence of duodenal carcinoma throughout its history.…”

“…Most of the tumours were of the polypoid or ulcerating type. The incidence in males is approximately twice that in females, the average time between the onset of symptoms and diagnosis six months (Shallow, Eger, and Carty, 1945) to 11 months (Dixon, Lichtman, and Weber, 1946). These neoplasms occur most frequently in the fifth and sixth decades.…”