Primary duodenal tumors. A diagnostic and therapeutic dilemma

W. E. Kibbey, Kenneth R Sirinek, W. G N R Pace andThomford

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The case records of ten patients with benign, three with endocrine, and 19 with malignant duodenal tumors were reviewed. Patients with benign tumors had episodes of bleeding that were recurrent in a number of cases. The endocrine tumors were all gastrinomas; patients had ulcer diathesis associated with the Zollinger Ellison syndrome. All malignant tumors were symptomatic, with chronic gastrointestinal blood loss or duodenal obstruction. All benign tumors were demonstrated preoperatively, but only ten of 19 malignant tumors were confirmed preoperatively. The data suggest that duodenal tumors masquerade as more common diseases and as a result, their diagnosis and treatment are delayed inordinately. Awareness of this problem is encouraged, and a more aggressive diagnostic effort in selected patients, including fiberoptic endoscopy, is suggested.

Original languageEnglish (US)
Pages (from-to)377-380
Number of pages4
JournalArchives of Surgery
Volume111
Issue number4
StatePublished - 1976
Externally publishedYes

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Neoplasms
Therapeutics
Duodenal Obstruction
Gastrinoma
Zollinger-Ellison Syndrome
Delayed Diagnosis
Disease Susceptibility
Endoscopy
Ulcer
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Kibbey, W. E., Sirinek, K. R., & Pace andThomford, W. G. N. R. (1976). Primary duodenal tumors. A diagnostic and therapeutic dilemma. Archives of Surgery, 111(4), 377-380.

Primary duodenal tumors. A diagnostic and therapeutic dilemma. / Kibbey, W. E.; Sirinek, Kenneth R; Pace andThomford, W. G N R.

In: Archives of Surgery, Vol. 111, No. 4, 1976, p. 377-380.

Research output: Contribution to journalArticle

Kibbey, WE, Sirinek, KR & Pace andThomford, WGNR 1976, 'Primary duodenal tumors. A diagnostic and therapeutic dilemma', Archives of Surgery, vol. 111, no. 4, pp. 377-380.
Kibbey, W. E. ; Sirinek, Kenneth R ; Pace andThomford, W. G N R. / Primary duodenal tumors. A diagnostic and therapeutic dilemma. In: Archives of Surgery. 1976 ; Vol. 111, No. 4. pp. 377-380.
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