Abstract IN THE treatment of malignant neoplasms of the small intestine, the great expectations of cure or of almost fantastic palliation routinely are found only in cases of primary argentaffine tumors. These results are obtained only through surgery, which should be as radical as the extension of the tumor demands. The excellent prognosis following such treatment of carcinoid tumors, as contrasted with the outlook in the treatment of intestinal carcinomas and sarcomas, is confirmed repeatedly in the literature. The sharp difference in life expectancy after resection of carcinoids and after resection of other malignant growths of the small bowel should never be forgotten by the surgeon, especially since carcinoids are reported to comprise one-fourth to one-fifth of the total number of malignant neoplasms of the small intestine. This report is thus presented as a reminder to the surgeon of the surprisingly good results to be anticipated after adequate surgical treatment of References 1. Ariel, I. M.: Argentaffin (Carcinoid) Tumors of the Small Intestine , Arch. Path. 27:25-52 ( (Jan.) ) 1939. 2. Cooke, H. H.: Carcinoid Tumors of the Small Intestine , Arch. Surg. 22:568-597 ( (April) ) 1931.Crossref 3. Dockerty, M. B., and Ashburn, F. S.: Carcinoid Tumors (So-Called) of the Ileum: Report of Thirteen Cases in Which There Was Metastasis , Arch. Surg. 47:221-246 ( (Sept.) ) 1943.Crossref 4. Ritchie, G., and Stafford, W. T.: Argentaffin Tumors of the Gastrointestinal Tract , Arch. Path. 38:123-127 ( (Sept.) ) 1944. 5. Grimes, O. F., and Bell, H. G.: Carcinoid Tumors of the Intestine , Surg., Gynec. & Obst. 88:317-325, 1949. 6. Miller, E. R., and Herrmann, W. W.: Argentaffine Tumors of the Small Bowel: Roentgen Sign of Malignant Change , Radiology 39:214-220, 1942.
A.M.A. Archives Surgery – American Medical Association
Published: Jan 1, 1952
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