Dr Pascal Gervaz

Chirurgien FMH, chirurgie interne & chirurgie viscérale

 

 

Long-term Results of Radical Resection for Locally Advanced Duodenal Adenocarcinoma

 

 

 

by Pascal Bucher MD, Pascal Gervaz MD, Philippe Morel MD

 

 

ABSTRACT

Background/Aims

Duodenal adenocarcinomas are uncommon tumors characterized by non-specific symptoms and late diagnosis. The objective of this study was to assess long-term results of locally advanced duodenal adenocarcinoma treated by surgical resection.

 

Methodology

A retrospective study, over a 10-year period, identified 9 patients (mean age 65 years) treated for duodenal carcinoma.

 

Results

Out of nine patients who were treated for duodenal adenocarcinoma, 8 underwent R0 resection (5 pancreaticoduodenectomies, 1 total pancreatico­duodenectomy and 2 segmental duodenal resections). All of them had tumor of stage II or III according to TNM classification. Median follow-up was 104 months (range 25 to 185). Five patients had lymph node metastases (stage III) at the time of surgery. Two- and five-year survival rates were 100% and 75%, respectively for the whole group. No correlation between lymph node status and survival was found.

 

Conclusions

Radical surgical resection for locally advanced duodenal adenocarcinomas provides good long-term results in terms of patient survival, even for N1 tumors (stage III).


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in Hepatogastroenterology 2005; 52: 1727-9