TY - CHAP M1 - Book, Section TI - Small Bowel Cancer and Appendiceal Tumors A1 - Overman, Michael J. A1 - Raghav, Kanwal A1 - Lieu, Christopher H. A1 - Fournier, Commentary: Keith F. A2 - Kantarjian, Hagop M. A2 - Wolff, Robert A. PY - 2016 T2 - The MD Anderson Manual of Medical Oncology, 3e AB - Small bowel cancer is a rare malignancy representing approximately 3% of gastrointestinal neoplasms (1). In 2014, it was estimated that 9,160 new cases of small bowel cancer and 1,210 small bowel cancer–related deaths would occur (1). The two most common histologies seen in cancers of the small intestine are carcinoids and adenocarcinomas (2). Because of the nonspecific clinical presentation of small bowel adenocarcinoma and the difficulty in imaging the small bowel, most patients with small bowel adenocarcinoma present with lymph node involvement or distant metastases. Even in patients with localized disease who undergo resection with curative intent, the prognosis is poor, and no studies have yet demonstrated a clear benefit from adjuvant therapy. However, there have been some recent advances in the use of chemotherapy as palliative treatment. In this chapter, the epidemiology, diagnosis, and treatment of small bowel cancers, in particular small bowel adenocarcinoma, are reviewed. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1126742442 ER -