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Characteristics and outcome of patients with small bowel adenocarcinoma (SBA)

Teufel A, Meindl-Beinker NM, Hosel P, Gerken M, Roig A, Ebert MP, Herr W, Scheiter A, Pauer A, Schlitt HJ, Klinkhammer-Schalke M (2022)

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Publication Type: Journal article

Publication year: 2022

Journal

DOI: 10.1007/s00432-022-04344-z

Abstract

Background: Small bowel adenocarcinoma (SBA) remains a rare malignancy accounting for less than 5% of all the gastrointestinal tract cancers. However, only limited data and expert guidelines are available for this entity. As a result, treatment concepts are predominantly derived from colorectal cancer. Methods: To substantiate data on the course of disease, diagnosis and treatment of SBA, we performed a population-based analysis from a Bavarian population of 2.2 million people. Results: We identified 223 patients with SBA. Mean age at diagnosis was 67.8 years and patients were diagnosed rather late (34.5% UICC stage IV). Largest proportion of these patients were diagnosed with adenocarcinoma of the duodenum (132 patients, 59.2%) and most patients were diagnosed with late stage cancer, stage IV (70 patients, 31.4%). With respect to treatment, most patients underwent primary surgery (187 patients, 84.6%). Systemic therapy seemed to have an impact in UICC stage IV patients but not in UICC stage IIB or III. The 5-year survival rate was 29.0%. This was significantly less compared to colon cancer in the same cohort, which was 50.0%. Furthermore, median survival of patients with small bowel cancer was only 2.0 years (95% CI 1.4–2.5) compared to 4.9 years (95% CI 4.8–5.1) of patients with colon cancer. Conclusion: SBA showed a distinct epidemiology compared to colon cancer. Thus, data acquisition particularly on systemic treatment are paramount, with the objective to complement the available guidelines.

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How to cite

APA:

Teufel, A., Meindl-Beinker, N.M., Hosel, P., Gerken, M., Roig, A., Ebert, M.P.,... Klinkhammer-Schalke, M. (2022). Characteristics and outcome of patients with small bowel adenocarcinoma (SBA). Journal of Cancer Research and Clinical Oncology. https://doi.org/10.1007/s00432-022-04344-z

MLA:

Teufel, Andreas, et al. "Characteristics and outcome of patients with small bowel adenocarcinoma (SBA)." Journal of Cancer Research and Clinical Oncology (2022).

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