Dvylikapirštės žarnos adenokarcinoma: etiologija, klinika, diagnostika, gydymas, prognozė ir klinikinis atvejis

Abstract

Dvylikapirðtës þarnos adenokarcinoma: etiologija, klinika, diagnostika, gydymas, prognozë ir klinikinis atvejis ISSN 1392-0995, ISSN 1648-9942 (online) LIETUVOS CHIRURGIJA Lithuanian Surgery 2007, 5(1), p. 71-76 Reti atvejaiÐio straipsnio tikslas -apraðyti dvylikapirðtës þarnos adenokarcinomos klinikiná atvejá, pateikti literatûros apþvalgà. Dvylikapirðtës þarnos adenokarcinoma yra labai reta patologija, pasitaikanti 0,3-1% visø virðkinimo trakto piktybiniø navikø. Specifiniø simptomø, kurie bûdingi tik ðiai patologijai, nëra. Todël daþnai liga diagnozuojama vëlyvos stadijos. Pagrindinis gydymo bûdas yra chirurginis naviko paðalinimas. Atliekamos operacijos: pankreatoduodeninë rezekcija ir duodeninë segmentektomija. Naviko prognozë bloga: 5 metø iðgyvenamumas po radikalios operacijos ávairuoja nuo 15% iki 60%. Straipsnyje pateikiame mûsø klinikoje gydyto 66 metø paciento klinikiná atvejá. Klinika buvo apie pusae metø, nustatytas dvylikapirðtës þarnos susiaurëjimas. Ligonis operuotas, histologiðkai diagnozuota dvylikapirðtës þarnos adenokarcinoma ir metastazës limfmazgiuose. Pagrindiniai þodþiai: dvylikapirðtë þarna, adenokarcinoma, pankreatoduodeninë rezekcijaThe aim of this paper is to present a rare case of adenocarcinoma of duodenum and review the literature. Adenocarcinoma of duodenum is a very rare pathology. It presents 0.3-1% of all gastrointestinal tract malignant neoplasms. There are no specific symptoms for this disease. Therefore the disease is usually diagnosed at an advanced stage. Surgical resection is the only potentially curative treatment. Performed operations: pancreatoduodenectomy and duodenal segmentectomy. The prognosis of this neoplasm is bad. The five-year survival rate is from 15% to 60% for radical resection. We present a case of a 66-year-old man. He was ill about 0.5 year. Duodenal narrowing was defined. The patient was operated on: histollogicaly, duodenal adenocarcinoma and nodal metastases were diagnosed.