Jejunal Adenocarcinoma: A Report of Two Cases
DOI:
https://doi.org/10.22516/25007440.1165Keywords:
Jejunum, Adenocarcinoma, Double-Balloon Enteroscopy, Lymph Nodes, Neoplasm MetastasisAbstract
Introduction: Adenocarcinomas of the small intestine are a rare cause of gastrointestinal neoplasms. Their incidence increases with age and has recently been reported to be on the rise, likely due to the implementation of advanced diagnostic tests. Nevertheless, they remain a diagnostic challenge, leading to delayed care, especially in patients with advanced disease, which limits treatment options and worsens prognosis.
Case Report: This article presents two cases of patients diagnosed with jejunal adenocarcinoma. Both patients exhibited nonspecific symptoms and imaging and endoscopic evidence of small intestinal lesions. They were treated with minimally invasive surgery, and the diagnosis was confirmed histopathologically. The first patient experienced tumor recurrence at three years, presenting with advanced-stage disease. The second case involved hepatic and cervical lymph node metastases identified at the time of diagnosis.
Discussion and Conclusions: Despite the atypical presentation and advanced stage at diagnosis, both patients received surgical and systemic oncological treatment. However, further studies are needed to assess the potential implementation of new diagnostic and therapeutic strategies aimed at improving clinical outcomes.
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