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Primary carcinoma of the jejunum

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The American Journal of Digestive Diseases Aims and scope Submit manuscript

Summary

1. Seven cases of carcinoma originating in the jejunum have been presented.

2. The clinical features of pain, vomiting, and anemia are late in appearance and are not diagnostic in themselves.

3. “Routine” gastrointestinal x-ray study may frequently fail to disclose a small intestinal lesion. The clinician must more often suspect the small bowel as a source of trouble and request special radiographic study.

4. Resection with attempt to cure is the therapeutic method of choice. The possibility of greater salvage with “second look” operation is suggested.

5. The prognosis is poor. The 5-year cure rate is 20 to 25 per cent, and average survival is less than 3 years.

6. A plea is registered for the steps leading to earlier diagnosis of this condition.

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References

  1. Pridgen, J. E., Mayo, C. W., andDockerty, M. B. Carcinoma of the jejunum and ileum exclusive of carcinoid tumors.Surg. Gynec. & Obst. 90:513, 1950.

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  2. Brown, C. F. G., andNalefski, L. A. Carcinoma of the small bowel: Report of a case.Gastroenterology 14:168, 1950.

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  3. Botsford, T. W., andSeibel, R. E. Benign and malignant tumors of the small intestine.New England J. Med. 236:683, 1947.

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Author information

Authors and Affiliations

  1. From the Departments of Medicine and Surgery, School of Medicine, University of Miami, Miami, Fla.

    Chester Cassel M.D. & Harold M. Unger M.D.

Authors
  1. Chester Cassel M.D.
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  2. Harold M. Unger M.D.
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Additional information

Grateful acknowledgment for the use of clinical material is made to Richard Clay, M.D., Rudolph Drosd, M.D., Eugene Greenwald, M.D., and William J. Clifford, M.D.; and to Mercy, Jackson Memorial, Mount Sinai, and St. Francis Hospitals of Greater Miami.

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Cassel, C., Unger, H.M. Primary carcinoma of the jejunum. Digest Dis Sci 3, 669–681 (1958). https://doi.org/10.1007/BF02231239

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  • DOI: https://doi.org/10.1007/BF02231239

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