A single-institution experience with 491 cases of small bowel adenocarcinoma

Thorvardur R. Halfdanarson, Robert R. McWilliams, John H. Donohue, J. Fernando Quevedo

Research output: Contribution to journalArticlepeer-review

118 Scopus citations

Abstract

Background: The optimal treatment of small bowel adenocarcinoma is unknown. Methods: The records of 491 patients with small bowel adenocarcinoma diagnosis between 1970 and 2005 were reviewed for patient and tumor characteristics, treatment effects, and survival. Results: The median age at diagnosis was 62 years. The most common tumor locations were the duodenum (57%), jejunum (29%), and ileum (10%). The median overall survival was 20.1 months, with a 5-year overall survival of 26%. Greater age, male sex, higher stage and grade, residual disease after resection, and a lymph node ratio of 50% or greater predicted decreased overall survival in univariate analysis. Age and stage were predictive of survival in multivariate analysis. The overall survival with metastatic disease was poor. Adjuvant therapy was not associated with longer overall survival (P = .44). Conclusions: The prognosis of patients with small bowel adenocarcinoma is poor. Complete resection provides the only means of cure, and the role for adjuvant therapy remains uncertain.

Original languageEnglish (US)
Pages (from-to)797-803
Number of pages7
JournalAmerican journal of surgery
Volume199
Issue number6
DOIs
StatePublished - Jun 2010

Keywords

  • Abdominal neoplasms
  • Adenocarcinoma
  • Duodenum
  • Ileum
  • Jejunum

ASJC Scopus subject areas

  • Surgery

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