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©2010 Baishideng.
World J Gastroenterol. Mar 28, 2010; 16(12): 1527-1532
Published online Mar 28, 2010. doi: 10.3748/wjg.v16.i12.1527
Published online Mar 28, 2010. doi: 10.3748/wjg.v16.i12.1527
Table 1 Clinical symptoms and signs of PMTSB patients
Symptoms | n (%) |
Abdominal pain | 95 (67.4) |
Abdominal mass | 44 (31.2) |
Bowel obstruction | 34 (24.1) |
Hemotochezia | 30 (21.3) |
Jaundice | 23 (16.3) |
Fever | 20 (14.2) |
Bowel perforation coexistent peritonitis | 8 (5.7) |
Gastrointestinal bleeding and coexistent Shock | 7 (5.0) |
Intraabdominal bleeding | 2 (1.4) |
Table 2 Histopathological type of PMTSB (n = 141)
Histopathological type | n (%) |
Adenocarcinoma | 61 (43.3) |
GIST | 28 (19.8) |
Carcinoid | 17 (12.1) |
Malignant lymphoma | 14 (9.9) |
Leiomyosarcoma | 10 (7.1) |
Malignant melanoma | 6 (4.3) |
Malignant neurilemmoma | 3 (2.1) |
Fibrosarcoma | 2 (1.4) |
Table 3 Surgical procedure for PMTSB patients
Procedure | n (%) |
Operative intervention | |
Emergent procedure | 31 (22.0) |
Elective procedure | 110 (78.0) |
Disease for emergent procedure | |
Bowel obstruction | 24 (77.4) |
Gastrointestinal bleeding | 4 (12.9) |
Bowel perforation | 3 (9.6) |
Surgical procedure | |
Segmental bowel resection | 92 (65.3) |
Right hemi-colectomy | 15 (10.6) |
Pancreaticoduodenectomy | 10 (7.1) |
Gastric bypass | 13 (9.2) |
Biopsy at laparotomy | 5 (3.6) |
Feeding jejunostomy | 2 (1.4) |
Biliary bypass | 2 (1.4) |
Enteric bypass | 2 (1.4) |
Radicality of procedure | |
Radical1 | 104 (73.8) |
Palliative2 | 37 (26.2) |
Table 4 Complications after operation
Complications | n (%) |
Pancreatic anastomotic leak | 7 (5.0) |
Wound infection | 6 (4.3) |
Prolonged gastric emptying | 3 (2.1) |
Subphrenic abscess | 3 (2.1) |
Gastrointestinal bleeding | 2 (1.4) |
Total | 21 (14.9) |
Table 5 Survival rate of PMTSB patients n (%)
Histopathological type | Loss of follow-up cases (n) | 1-yr survival rate | 3-yr survival rate | 5-yr survival rate |
Adenocarcinoma (n = 61) | 4 | 42 (73.7) | 12 (21.0) | 9 (15.8) |
GIST (n = 28) | 3 | 20 (80.0) | 18 (72.0) | 9 (36.0) |
Carcinoid (n = 17) | 2 | 15 (100.0) | 12 (80.0) | 7 (46.7) |
Lymphoma (n = 14) | 1 | 9 (9.25) | 4 (30.8) | 0 |
Other tumors(n = 21) | 11 | 3 cases of leiomyosarcoma survived (15, 39 and 71 mo, respectively) and 1 case of malignant melanoma survived 18 mo |
- Citation: Han SL, Cheng J, Zhou HZ, Guo SC, Jia ZR, Wang PF. Surgically treated primary malignant tumor of small bowel: A clinical analysis. World J Gastroenterol 2010; 16(12): 1527-1532
- URL: https://www.wjgnet.com/1007-9327/full/v16/i12/1527.htm
- DOI: https://dx.doi.org/10.3748/wjg.v16.i12.1527