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A Study of 18 Cases Stressing the Clinical and Roentgenographic Features

Michael S. Bruno, MD; Harry D. Fein, MD

Arch Intern Med. 1970;125(4):670-679.

Abstract
Eighteen patients with primary tumors of the duodenum were seen at Lenox Hill Hospital from 1950 to 1968. Five tumors were benign and 13 were malignant. In our group of benign tumors, bleeding was common. Obstruction of the upper-intestinal tract also occurred but was less common. A palpable abdominal mass was rarely found. Other symptoms were usually secondary to associated diseases. Malignant tumors, on the other hand, almost invariably produced prominent findings. These included obstruction of the intestinal tract; persistent abdominal pain; bleeding; constitutional symptoms and signs of malignancy per se; a palpable abdominal mass; and, on occasion, jaundice. Properly executed roentgenographic study and techniques such as hypotonic duodenography and selected abdominal arteriography proved useful in diagnosis.

Author Affiliations
New York

From the Department of Medicine, Lenox Hill Hospital, New York.

Footnotes
Received for publication Dec 30, 1968; accepted Dec 2, 1969.

Reprint requests to 100 E 77th St, New York 10021 (Dr. Bruno).

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