Villous Tumors of the Duodenum
- 1 February 1975
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 181 (2), 164-168
- https://doi.org/10.1097/00000658-197502000-00007
Abstract
Villous tumors of the duodenum are rare, but treatment may be problematic because of their association with invasive adenocarcinoma. Two cases of villous tumor of the duodenum are described and 39 other reported cases are reviewed. Presenting symptoms were bleeding 27%; obstruction 24%; jaundice 22% and vague dyspepsia 20%. Diagnosis may be made by radiographic barium contrast evaluation of the duodenum, especially with the addition of air contrast hypotonic studies and by fibro-optic endoscopy. Twenty-seven per cent of villous tumors of the duodenum are associated with adenocarcinoma. Invasive tumor is more common in patients over 50 years old (35%), in tumors of the third and fourth portions of the duodenum (44%) and in tumors over 4 cm in diameter (30%). Local excision is the treatment of choice for benign lesions. Pancreatico-duodenectomy is recommended for tumors which include invasive carcinoma in patients without distal metastases.Keywords
This publication has 38 references indexed in Scilit:
- ADENOMA OF DUODENAL BULB - A CASE REPORT1963
- Primary Duodenal TumorsArchives of Internal Medicine, 1963
- Villous adenoma of the duodenum.1962
- Malignant Potential of Adenomas of Colon and RectumPublished by American Medical Association (AMA) ,1962
- Tumors of the Small IntestineNew England Journal of Medicine, 1959
- Small bowel tumors; a clinical study of 109 cases.1958
- Benign Tumors of the Stomach and DuodenumMedical Clinics of North America, 1956
- Benign neoplasms of the small intestine; a critical comprehensive review with reports of 20 new cases.1956
- Benign tumors of the stomach and duodenum; their radiologic appearance.1955
- Premalignant lesions of the ampulla of Vater.1950