Clinical Features / Presentation of Small Bowel Adenocarcinoma

  • Many patients with small bowel adenocarcinoma present with abdominal pain:
    • But they may also present with:
      • Obstruction
      • Bleeding
      • Weight loss
      • Perforation
      • Jaundice:
        • Duodenal adenocarcinomas
  • Due to the rarity of the disease, variable symptoms, lack of physical findings, and diagnostic difficulty:
    • Delays in definitive diagnosis are common
  • Small bowel adenocarcinomas:
    • Are most common in the duodenum:
      • Followed by the jejunum:
        • And are least common in the ileum
  • Due to the difficulties in diagnosis and absence of reliable screening:
    • Greater than 50% of patients with small bowel adenocarcinoma:
      • Present at stage III to IV
  • Those with metastatic disease:
    • Most commonly metastasize to:
      • The liver and peritoneum

#Arrangoiz #CancerSurgeon #SurgicalOncologist #Teacher #SmallBowelCancer

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