Title: Clinicopathological Study of Small Bowel and Related Mesenteric Tumour
Authors: Jitendra Sankpal, Yogesh Torkadi, Shubham Gupta, Sushrut Sankpal, Shekhar Jadhav, Mukund Tayade
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.64
This is clinicopathological and management study of 25 patients in a tertiary care hospital during period from Nov 2013 to Nov 2015 In the study conducted in our Institute, the incidence is 0.25% of all patients admitted in the surgery department over the span of 2 years. In our study, the most common tumour found in small bowel is GIST [40%] followed by adenocarcinoma [20%] and Carcinoid [16%].Differences might be due to small sample size. In our study, the age distribution is from 25-72 years with majority [48%] are in the age group of 50- 59 years and 80% of the patients are above 50 years. This proves the general concenses. In my series, males having small bowel tumours are predominant [68%] as compared to females which is similar as seen in other series conducted In the present study, the most common symptom found in patients with small bowel tumours is abdominal pain [76%], followed by abdominal mass [44%], anaemia [ 40%], nausea and vomiting [36%] and weight loss [32%]. In my study, ultrasonography, CT scan abdomen, Upper GI endoscopy, barium meal follow through were used for diagnosis and found that CT scan of the abdomen is superior to the other modalities in the diagnosis of small bowel. This finding are similar to findings conducted in other study.
1. Chow JS, Chen CC, Ashan H, Neugut AI.A population based study of the incidence of malignant small bowel tumours:SEER,1971 to 1990 Int J Epidemiology 1996, 722 2. American cancer society. Casncer facts and figures 2007.Atlanta cancer society 2007 3. Haselkom T , Whittemore AS , Littenfield DE .Incidence of small bowel cancer in the united states and worldwide, geogra-phical, temporal and racial differences . Cancer causes control 2005, 16 (7):781 4. Hatzaras I , Palesty JA , Abir F, et al.small bowel tumours epidemiological and clinical characteristicsof 1,260 cases from the connecticut tomour registry Archsurg 2007,142 (3)229 5. Ross RK, Hartnett NM, Bernstein L, Henderson BE, Epemiology of adenocarcinoma of the small intestine:is a bile a small bowel carcinogen ?Br J Cancer 1991:63 (1)143 6. Gabos S Barkel J, Band P , Robson D, whittakar H.samll bowel cancer in western canada Int J Epidemioly 1993:22(2):198.
Abstract
