|
|
|
|
Small Intestine Cancer Symptoms
|
|
Small
intestinal
cancer symptoms are
vague and not unique to the disease. The vague symptoms often
contribute to a late diagnosis or the patient passing the
symptoms off as something not serious. Over time though, the
symptoms will increase and become more intense.
Early
Symptoms:
The first
symptom of small intestine
cancer
that usually occurs is abdominal pain. The
abdominal pain tends to be followed by either nausea, bloating
or loss of appetite |
|
These
symptoms are shared with many other
gastrointestinal diseases. Although people do
not usually run to the doctor as soon as they
feel sick, anyone with early symptoms and a
family history of gastrointestinal problems
should not hesitate to go to a doctor regarding
their symptoms.
Advanced Symptoms:
Fatigue- The person may remain
tired throughout the day. Even sleep and
caffeine may not help the patient get rid of
their fatigue due to the fact it is a small
intestine
cancer symptom.
Weight Loss- This symptom can be a result of the
person's loss of interest to eat. This can be
voluntary or involuntary, meaning the patient
may want to eat but simply cannot because of the
pain that can be involved in eating while
suffering from small intestine
cancer.
Iron Deficiency Anemia- This symptom is due to a
lack of red blood cells which help keep people
feeling healthy or gives people the strength to
recover from an illness. Bleeding in the small
intestine can lead to anemia.
Obvious Blood Loss- Blood may be vomited or
passed in the stool. Sometimes a material that
looks like coffee grinds in the vomit is an
indication of blood loss.
Severe Vomiting- This may be caused by a major
blockage in the small intestine. The blockage is
likely a
cancerous tumor. This causes pain and nausea
for the person whenever they eat because the
food cannot pass through the small intestine.
Jaundice- This symptom causes the patient to
have a yellowish skin color. It is caused by a
blockage in the upper area of the small
intestine. When the upper part of the small
intestine is blocked, the bile ducts that drain
the liver are effected and this causes the
yellowish skin.
By the time the advanced symptoms occur, it is
near impossible for someone to ignore them and
not report to the doctor. The best way to
prevent a serious complication due to small
intestine
cancer is to get the early symptoms checked
out as soon as a possible. Suffering the
advanced symptoms means the
cancer
is more advanced and is more difficult to
manage. |
|
Types of Small Intestine Cancer:
The
small intestine is located in
between the stomach and the large
intestine in the digestive tract.
When
cancer cells take over the small
intestine, a person may be diagnosed
with small intestine
cancer. The four main types of
small intestine
cancer are lymphoma, carcinoid,
gastroin stromal tumor, and
adenocarcinoma |
Adenocarcinoma:
Adenocarcinoma
cancer
originates in the glandular tissue.
Adenocarcinoma
cancer
can arise in any part of the
body
involved in secretions. Benign tumors in the
glandular tissues are known as adenoma while
those that are malignant and will continue
to spread are known as adenocarcinoma.
Adenocarcinoma make up 30%-40% of all small
intestine
cancers.
Most people believe that adenocarcinoma
cancer
develops from a small benign growth called a
polyp in the small intestine. The
cancer
cells will likely line against the wall of
the small intestine.
Adenocarcinoma symptoms can be vague making
it difficult to diagnose a patient with the
disease. Adenocarcinoma can lead to pain in
the abdomen, weakness, weight loss and
fatigue. A lot of the pain can be felt while
eating, especially as the tumor gets larger.
As the tumor grows it may cause a block in
the intestine. This condition is known as
obstruction. When the intestine is blocked,
severe nausea and vomiting will occur along
with pain. In rare but extreme cases, a hole
can be torn in the intestine, resulting in
the contents of the intestine being spilled
out into the abdominal cavity. |
If the tumor
starts to slowly bleed into the
intestines anemia could take place,
causing a low red blood cell count
which leads to feeling weak and ill.
Gastrointestinal Stromal Tumor:
Gastroin stromal
tumors are one of the most common tumors of the
gastrointestinal tract. Gastrointestinal stromal
tumors are driven by mutations. Patients
suffering from this form of small intestine
cancer
may experience pain while swallowing,
gastroinintestinal bleeding and the spread of
the disease to the liver. Intestinal blockage is
rare because the tumor has an outward growth. In
many cases by the time a diagnosis has been made
the tumor is large and had been present for a
long period of time.
Carcinoid:
Carcinoids are
tumors that come from enterchromaffin cells
throughout the gut. Most carcinoids are found
throughout the gastrointestinal tract.
Carcinoids often do not lead to any symptoms.
Most are benign but have the ability to become
malignant. Most carcinoid tumors are discovered
coincidentally during unrelated surgeries. Ten
percent of the time carcinoids can secrete
hormones causing the patient to be flushed,
suffer diarrhea, wheezing, and abdominal
cramping.
Lymphoma:
Lymphoma of the small intestine accounts for 30%
of small intestine malignant
cancer.
A thick bowel wall and discrete tumor masses
indicate a high grade tumor. The lymphoma tumors
that rise are usually malignant, cause a spread
of
cancer
to other areas besides the small intestine.
Lymphoma tends to effect children more than the
other small intestine
cancers |
|
Small Intestine Cancer Prevention:
Small intestine
cancer prevention involves an
individual managing his or her risk
factors. Eating healthy and being
screened are the best ways to
prevent the disease. Family history
of small intestine
cancer or related diseases such
as colon
cancer and Crohn's disease are
warning sign that someone may
already have signs or early stages
of small intestine
cancer. Early screenings and
treatment are the best forms of
cancer
prevention. |
Someone
suffering from abdominal pain, weight loss
or fatigue with the knowledge that people in
their family have had intestinal problems in
the past should immediately go for small
intestine a
cancer
screening. The first sign is usually
abdominal pain. Since abdominal pain is not
a common symptom, many patients remain
undiagnosed until the more advanced stages
of small intestine
cancer.
If the abdomen pain gets worse while eating
then the tumor may be growing and causing
blockage in the digestive tract.
Small intestinal
cancer
prevention can depend on how someone manages
their illness if they suffer from Crohn's
disease or Celiac disease. Those with Celiac
disease who do not refrain from eating
gluten products will worsen their condition.
When Celaic disease is not treated or
worsened by the patient not following
doctor's orders for treatment, much damage
can be done to the small intestine. The
damage done by Celiac disease can increase
the risk of getting small intestine
cancer.
Crohn's disease also damages the small
intestine and unfortunately there is no
treatment to get rid of the disease. There
is medication to help manage the symptoms
but that will not cure the disease. Since
the small intestine will continue to suffer
in someone with Crohn's disease, the chances
of developing small intestine
cancer
increase. Treatment that reduces the
symptoms of Crohn's disease can help prevent
extra damage being done to the small
intestine such as tearing, bleeding or
blockage. Less damage to the small intestine
will help prevent small intestine
cancer
in people with Crohn's disease.
Small intestine
cancer
is capable of developing in anyone despite a
healthy history and performing
cancer
prevention tactics |
|
Small Intestine Cancer Staging:
It
is important to determine what stage the small
intestine
cancer is in because the diagnosis and
treatment depends on the current stage. The
staging system depends on how much the
cancer
cells have spread in relation to the walls of
the intestine. It is not until after surgery
that a stage can truly be determined. The
American Joint Committee on
Cancer
uses a staging system for small intestine
cancer
based on roman numerals and the three factors
TNM (tumor, lmyph nodes, and metastasis). The T,
N, and M are ranked based on severity with
numbers. T rankings Tx- No description of tumor
because of incomplete testing or information.
Tis- The
cancer is not deep. It is only on the top
layer of the mucosa. T1a- The
cancer
has grown from the top layer of cells of the
mucosa and into the layer of connective tissue
below. T1b -The
cancer
has grown through the mucosa and into the
submucosa. T2- The
cancer
has grown through the mucosa and submucosa into
the muscularis propria. T3- The
cancer
remains in the intestinal wall. It has not
spread to other organs or tissues. T4- The
cancer
has grown through the wall of the intestines and
will be invading other organs. N rankings N0-
The lymph nodes near the tumor do not contain
cancer.
N1-
Cancer
cells have been found in 1-3 lymph nodes near
the tumor. N2-
Cancer
cells have been found in 4 or more lymph nodes
near the tumor. M rankings M0- No
cancer
has been found or will not spread into other
organs. M1-
Cancer has spread to other organs. The
stages are used in conjunction with the rankings
of the TNM system. Stage 0- Tis, M0, N0 The
cancer
is in an early stage. It remains on the top
layer of the mucosa of the small intestine and
has not began to grow deeper. Stage I- T1 or T2,
N0, M0 The
cancer has grown into deeper layers of the
intestine. It has not spread to any lymph nodes,
other organs, or distant sites. Stage IIA- T3 or
T4, N0, M0 The
cancer
has not spread to nearby lymph nodes, organs or
distant sites but it has grown through most of
the walls of the small intestine. Stage IIB- T4,
N0, M0 The
cancer has grown through the walls of the
intestine and into nearby tissues and organs. It
has not spread to lymph nodes or distant sites.
Stage IIIA- Any T, N1, M0 The
cancer
has reached other lymph nodes but no distant
sites. Stage IIIB- Any T, N2, M0 The
cancer
has spread to 4 or more lymph nodes but no
distant sites. Stage IV- Any T, Any N, M1
Cancer
has spread to any or all of the including, the
lungs, liver, ovary, or peritoneum. Five year
survival rate by stage
|
Stage I- 55% |
Stage IIA- 49% |
StageIIB- 35% |
Stage IIIA- 31% |
Stage IIIB- 18% |
StageIV- 5% | |
|
The
overall prognosis for small intestine
cancer is poor.
Adenocarcinoma leaves
patients with the worst
prognosis while carcinoid
tumors, gastroin stromal
tumors and lymphoma tumors
offer some more hope.
Carcinoid tumors are
considered the least
dangerous. Gastrointestinal
stromal tumors and lymphoma
tumors would fall in between
adenocarcinoma and carcinoid
tumors in term of severity.
A small intestine prognosis
does not only predict how
long a patient has to live
but also predicts possible
complications, chances of
full recovery and chances of
developing the
cancer
second time or a related disease |
Adenocarcinoma:
Patients suffering from
adenocarcinoma tumors in the small
intestine have a 30%-35% chance of
living five years beyond diagnosis.
The median length of survival is
about 36-42 months beyond the
diagnosis. In most cases, the tumor
continues to grow in the small
intestine and causes blockage, or
obstruction. This causes more pain
and complication in the small
intestine which may result in
bleeding and vomiting. Survival
chances increase slightly if the
small intestine
cancer has not spread into
nearby lymph nodes.
Carcinoid:
Carcinoid tumors are
usually found before any major
damage is causes. Most carcinoid
tumors are benign. However, a small
percentage of them have the ability
to become malignant, resulting in
the necessary removal of the
carcinoid. Most carcinoids are found
randomly while other surgeries or
medical tests are being performed on
a patient.
Lymphoma:
Lymphoma tumors account for 30% of
all small intestine
cancer. They can either be low
grade or high grade solid tumors,
they are both malignant. When
lymphoma tumors are low grade they
can be treated almost completely
with radiotherapy or chemotherapy.
The patient will still have the
cancer cells but may live almost
a normal life span. High grade
tumors have less chance of being
treated with chemotherapy. If the
patient responds poorly to
chemotherapy for a high grade tumor,
the
cancer prognosis grows much
worse.
Gastrointestinal
Stromal:
General survival rates for
gastrointestinal stromal tumors are
69% to live one-year past diagnosis,
38%-44% to live three-years past
diagnosis and 29%-35% to live past
five-years after diagnosis. These
numbers are assuming that the small
intestine
cancer treatment began in the
cancer's earliest stage.
The chances of the
cancer recurring are much higher
than the chances of getting small
intestine
cancer once. If the
cancer recurs, the survival
rates do not dramatically change, as
long as the tumors is found in it's
earliest stage. Those who have been
treated for
cancer should have screening
regularly to avoid stage increases
during a recurrence and maintain the
best possible
cancer prognosis |
|
|
|
|
|
|
|
|