PDF(Pubmed)
Abstract：
UNASSIGNED: Small bowel carcinoma (SBC) is a rare malignancy comprising mainly of adenocarcinoma and carcinoid tumors. Among SBCs, small bowel adenocarcinoma (SBA) accounts for 30-40 % and is predominantly found in the duodenum, while jejunal and ileal presence considered rare.
METHODS: We have presented a case of jejunal adenocarcinoma in a patient with obstruction symptoms. Prior to the obstruction, the patient mainly suffered from weakness and weight loss, in addition to iron deficiency anemia. During the investigation of underlying causes, we observed evidence of mass. However, before any additional evaluation could take place, the obstruction necessitated surgical intervention.
UNASSIGNED: Small bowel adenocarcinomas, particularly in the jejunum and ileum, are exceedingly rare and often present with complications such as obstruction, gastrointestinal bleeding, or perforation. Due to the non-specific symptoms, SBAs are challenging to diagnose before complications occur. SBAs are frequently diagnosed at advanced stages, so early diagnosis is crucial, as it can significantly impact patient survival. Thus, efforts should be made to expedite the diagnosis process to avoid complications and improve survival rates.
CONCLUSIONS: SBAs are a rare condition, often diagnosed by related complications. Recognizing the importance of early diagnosis and its positive influence on patient survival, physicians and surgeons should consider SBA in patients presenting with relevant symptoms or cases of obstruction.
METHODS: We have presented a case of jejunal adenocarcinoma in a patient with obstruction symptoms. Prior to the obstruction, the patient mainly suffered from weakness and weight loss, in addition to iron deficiency anemia. During the investigation of underlying causes, we observed evidence of mass. However, before any additional evaluation could take place, the obstruction necessitated surgical intervention.
UNASSIGNED: Small bowel adenocarcinomas, particularly in the jejunum and ileum, are exceedingly rare and often present with complications such as obstruction, gastrointestinal bleeding, or perforation. Due to the non-specific symptoms, SBAs are challenging to diagnose before complications occur. SBAs are frequently diagnosed at advanced stages, so early diagnosis is crucial, as it can significantly impact patient survival. Thus, efforts should be made to expedite the diagnosis process to avoid complications and improve survival rates.
CONCLUSIONS: SBAs are a rare condition, often diagnosed by related complications. Recognizing the importance of early diagnosis and its positive influence on patient survival, physicians and surgeons should consider SBA in patients presenting with relevant symptoms or cases of obstruction.
摘要：
■小肠癌（SBC）是一种罕见的恶性肿瘤，主要包括腺癌和类癌肿瘤。在SBC中，小肠腺癌（SBA）占30-40％，主要见于十二指肠，而空肠和回肠的存在被认为是罕见的。
方法：我们介绍了一例空肠腺癌伴梗阻症状的患者。在阻塞之前,患者主要是虚弱和体重减轻，除了缺铁性贫血。在调查根本原因的过程中，我们观察到了质量的证据。然而,在进行任何额外评估之前，阻塞需要手术干预。
■小肠腺癌，特别是在空肠和回肠，非常罕见，经常出现并发症，如梗阻，消化道出血,或穿孔。由于非特异性症状，SBA在并发症发生之前进行诊断具有挑战性。SBA经常被诊断为晚期，所以早期诊断至关重要，因为它可以显着影响患者的生存。因此，应努力加快诊断过程，以避免并发症并提高生存率。
结论：SBAs是一种罕见的疾病，常被诊断为相关并发症。认识到早期诊断的重要性及其对患者生存的积极影响，对于出现相关症状或梗阻病例的患者,内科医生和外科医生应考虑SBA.
方法：我们介绍了一例空肠腺癌伴梗阻症状的患者。在阻塞之前,患者主要是虚弱和体重减轻，除了缺铁性贫血。在调查根本原因的过程中，我们观察到了质量的证据。然而,在进行任何额外评估之前，阻塞需要手术干预。
■小肠腺癌，特别是在空肠和回肠，非常罕见，经常出现并发症，如梗阻，消化道出血,或穿孔。由于非特异性症状，SBA在并发症发生之前进行诊断具有挑战性。SBA经常被诊断为晚期，所以早期诊断至关重要，因为它可以显着影响患者的生存。因此，应努力加快诊断过程，以避免并发症并提高生存率。
结论：SBAs是一种罕见的疾病，常被诊断为相关并发症。认识到早期诊断的重要性及其对患者生存的积极影响，对于出现相关症状或梗阻病例的患者,内科医生和外科医生应考虑SBA.
