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Medically reviewed by Jerome Albert Ecker | MD, Assistant Professor of Medicine, Duke University - Durham, NC on April 16th, 2024.
Small intestine cancer, also known as small bowel cancer, is a rare disease that occurs when cells in the small intestine grow out of control and form a tumor. The small intestine is a crucial part of the digestive system, connecting the stomach to the large intestine and playing a vital role in breaking down and absorbing nutrients from food.
There are five main types of small intestine cancer:
Adenocarcinomas (30-40% of cases)
Sarcoma
Carcinoid tumors
Gastrointestinal stromal tumors (GISTs)
Intestinal lymphomas
Symptoms of small intestine cancer may include:
Pain or cramps in the middle of the stomach
Unexplained weight loss
A lump in the abdomen
Blood in the stool or black, tarry stools
Nausea or vomiting
Loss of appetite
Bloating
Anemia
Bowel obstruction (inability to pass gas or stool, severe pain, and vomiting)
If you experience any of these symptoms, it's essential to consult your doctor for a proper diagnosis.
While the exact causes of small intestine cancer are not well understood, several factors can increase your risk of developing the disease:
Age (average age at diagnosis is 60)
Gender (slightly higher risk in men)
Genetic disorders
Smoking and alcohol use
High-fat diet
Exposure to certain chemicals, such as phenoxyacetic acid
Pre-existing conditions affecting the gut (e.g., Crohn's disease, colon cancer, or celiac disease)
Lymphedema (damage to the vessels connecting to the lymph nodes)
To diagnose small intestine cancer, your doctor will perform a thorough medical exam and may order various tests, including:
Imaging tests (X-rays, CT scans, MRI)
Endoscopy
Blood chemistry tests
Liver function tests
Fecal occult blood test
Lymph node biopsy
Laparotomy (surgical procedure)
Treatment for small intestine cancer depends on the type of cancer and whether it has spread. Common treatment options include:
Surgery to remove the affected part of the small intestine or to bypass a tumor
Radiation therapy to kill cancer cells
Chemotherapy to kill cancer cells or stop their growth
Targeted therapy (everolimus, imatnib)
In addition to these standard treatments, new therapies are being tested in clinical trials. Talk to your doctor if you're interested in participating in a clinical trial before, during, or after your treatment.
For more information on small intestine cancer, visit reputable sources such as the American Cancer Society, Mayo Clinic, and the National Cancer Institute.
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