The American Journal of Surgery
Volume 193, Issue 3 , Pages 319-325 , March 2007

Should all patients with duodenal adenocarcinoma be considered for aggressive surgical resection?

Presented at the 49th Annual Meeting of the Midwest Surgical Association, Mackinac Island, MI, August 6–9, 2006

  • M.G. Hurtuk, M.D.

      Affiliations

    • Division of Surgical Oncology, Department of Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA
    • ,
  • S. Devata, M.D.

      Affiliations

    • Division of Surgical Oncology, Department of Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA
    • ,
  • K.M. Brown, M.D.

      Affiliations

    • Division of Surgical Oncology, Department of Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA
    • ,
  • K. Oshima, M.D.

      Affiliations

    • Department of Pathology, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL, USA
    • ,
  • G.V. Aranha, M.D.

      Affiliations

    • Division of Surgical Oncology, Department of Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA
    • ,
  • J. Pickleman, M.D.

      Affiliations

    • Division of Surgical Oncology, Department of Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA
    • ,
  • M. Shoup, M.D.

      Affiliations

    • Division of Surgical Oncology, Department of Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-708-327-3430; fax: +1-708-327-3565.

Received 12 August 2006 ,Revised 20 September 2006

References 

  1. Pickleman J, Koelsch M, Chejfec G. Node-positive duodenal carcinoma is curable. Arch Surg. 1997;132:241–244
  2. Kleinerman J, Yardumian K, Tamaki HT. Primary carcinoma of the duodenum. Ann Intern Med. 1950;32:451–465
  3. Iovine VM, Tsangaris N. Primary carcinoma of the duodenum. Am J Surg 961;27:744–50.
  4. Schmidt CM, Powell ES, Yiannoutsos CT, et al. Pancreaticoduodenectomy: A 20-year experience in 516 patients. Arch Surg. 2004;139:718–727
  5. Sexe RB, Wade TP, Virgo KS, et al. Incidence and treatment of periampullary duodenal cancer in the U.S. veteran patient population. Cancer. 1996;77:251–254
  6. Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg. 1997;226:248–260
  7. Bauer RL, Palmer ML, Bauer AM, et al. Adenocarcinoma of the small intestine: 21-year review of diagnosis, treatment, and prognosis. Ann Surg Oncol. 1994;1:183–188
  8. Kaklamanos IG, Bathe OF, Franceschi D, et al. Extent of resection in the management of duodenal adenocarcinoma. Am J S. 2000;179:37–41
  9. Barnes G, Lucinda R, Hess K, et al. Primary adenocarcinoma of the duodenum: management and survival in 67 patients. Ann Surg Oncol. 1993;1:73–78
  10. Maher MM, Yeo CJ, Lillemoe KD, et al. Pancreas-sparing duodenectomy for infra-ampullary duodenal pathology. Am J Surgery. 1996;171:62–67
  11. Alwmark A, Anderson A, Lasson A. Primary carcinoma of the duodenum. Ann Surg. 1980;191:13–18
  12. Delcore R, Thomas JH, Forster J, et al. Improving resectability and survival in patients with primary duodenal carcinoma. Am J Surg. 1993;166:626–631
  13. Bakaeen F, Murr M, Sarr M, et al. What prognostic factors are important in duodenal adenocarcinoma?. Arch Surg. 2000;134:635–642
  14. Ohigashi H, Ishikawa O, Tamura S, et al. Pancreatic invasion as the prognostic indicator of duodenal adenocarcinoma treated by pancreatoduodenectomy plus extended lymphadenectomy. Surgery. 1998;124:510–515
  15. Ryder N, Ko C, Hines O, et al. Primary duodenal adenocarcinoma: a 40-year experience. Arch Surg. 2000;135:1070–1075
  16. Sarela A, Brennan M, Karpeh M, et al. Adenocarcinoma of the duodenum: importance of accurate lymph node staging and similarity in outcome to gastric cancer. Ann Surg Oncol. 2004;11:380–386

PII: S0002-9610(06)00791-4

doi: 10.1016/j.amjsurg.2006.09.013

The American Journal of Surgery
Volume 193, Issue 3 , Pages 319-325 , March 2007

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