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标题：Case series: Two rare cases of primary jejunal adenocarcinoma with different clinical presentation
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作者：Gurjeet Singh Chowdhary ; Purvesh Agrawa
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2018
卷号：20
期号：2
页码：153-156
DOI：10.4103/jmms.jmms_39_18
语种：English
出版社：Medknow Publications
摘要：Small bowel tumors are rare,accounting for <5% of gastrointestinal neoplasms,1%–2% of these being malignant.The most common histological subtype is adenocarcinoma.Small bowel adenocarcinoma (SBA) is challenging to diagnose,often presents at a late stage,and has a poor prognosis.Therefore,a high index of clinical suspicion is required to diagnose such patients,and a better outcome with early-stage detection is expected.We report here two cases of jejunal adenocarcinoma.(a) A 53-year-old male presenting with iron deficiency anemia.(b) An 81-year old-female presenting with subacute intestinal obstruction.Diagnosis of SBA remains a challenge.A physician's suspicion and awareness are crucial in such patients.The early diagnosis will affect overall survival and mortality rate.Because the incidence of SBA is very low,there is a need for further studies to evaluate the possible application of newer investigative agents and strategies to obtain a better outcome.
关键词：Capsule endoscopy;diagnosis;FOLFOX;small bowel adenocarcinoma;surgery