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J Korean Cancer Assoc > Volume 27(2); 1995 > Article
Journal of the Korean Cancer Association 1995;27(2): 230-238.
소장종양의 임상적 고찰
안준호, 김병천, 이재정, 김주섭, 정봉화
A Clinical Analysis of the Small Bowel Tumor
Jun Ho An, Byung Chun Kim, Jae Jung Lee, Joo Seop Kim, Bong Wha Chang
ABSTRACT
The small bowel tumor is rare and prognosis is very poor due to nonspecific symptom and delayed diagnosis. The clinical review was made in 17 cases of the small bowel tumor that had been treated from January 1985 to September 1993 at Department of Surgery, College of Medicine, Hallym University. The obtained results are as follows, 1) The most prevalent age group was the 6th decade(47.0%) and the ratio of male to female was 1.42: l. 2) The most common symptom and sign were abdominal pain(52.9%) and abdominal distension(23.5%), respectively. 3) The most frequent site in sma11 bowel was ileum(47.1%), followed by jejunum (35.3%) and duodenum(17.6%). 4) The histopathologic classification was malignancy in 10 cases, benign in 7 cases and the most predominant type was leiomyosarcoma and lipoma, respectively. 5) The most frequent preoperative diagnostic measure was abdominal ultrasonogram(58.8%) and the diagnosis was correct in 9 cases. 6) The most common type of operation technique was segmental resection(64.6%). 7) The postoperative complications deveioped in 4 cases(26.7%). 8) Duration of the median follow up was 10.8 months and 4 cases were impossible to follow up. Among the 5 patients who died, 3 patients were adenocarcinoma and 2 patients were leiomyosarcoma. In conclusion, poor results of small bowel tumors are due to delayed diagnosis. Thus, prompt diagnostic studies should be performed in patient with persietent symptoms and early consideration of exploratory leparotomy may be needed for possibility of malignancy and curative resection.
Key words: Small bowel tumor
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