Jejunum Cancer

Jejunum Cancer

Treatment

  • Most Jejunal tumors, except Lymphoma, are treated by surgical resection of the tumor. Surgery is the curative option for Jejunal adenocarcinoma, GIST and neuroendocrine tumors. Patients may additionally require chemotherapy and targeted therapy based on the type and stage of the tumor.
  • Open or Laparoscopic resection of Jejunal tumors - This involves the resection of the involved part of the Jejunum along with the adjacent group of lymph nodes.
  • Laparoscopic Jejunal resection can be done in selective patients with early and localized tumors. It offers the advantage of a minimally invasive approach, less pain and early recovery.
  • Surgery for Palliative care-In certain cases of advanced tumor, the lesion cannot be surgically resected, and in such cases, surgery is done to relieve symptoms like persistent vomiting or bowel obstruction. The aim of palliative procedures is to relieve the symptoms and improve the quality of life. These procedures may not completely remove the tumor or cure the patient.
  • Endoscopic Stenting - In certain advanced cases of Jejunal cancer, the tumor infiltrates the adjacent bowel and causes bowel obstruction. In such cases, endoscopic stenting can be done to help relieve the symptoms of bowel obstruction.
  • Bypass -In a few cases, a bypass procedure may also be offered to relieve the symptoms of bowel obstruction.
  • Radiation therapy is not routinely used as a treatment option for Jejunal cancer.
  • The doctor sometimes prescribes radiation as palliative therapy to relieve symptoms of advanced cancer.
  • Radiation therapy can be given by:
    • External beam therapy - Sophisticated forms of intensity modulated radiation therapy (IMRT) may be used to treat cancer of the Jejunum. This is done by directing a radiation beam at the affected area of the body (external beam radiation therapy).
  • Chemotherapy drugs are cytotoxic drugs used to kill cancer cells. The type of tumor decides the possible chemotherapy option. Chemotherapy may be used in post-operative and metastatic settings. In the post-operative scenario, after complete resection of tumor, chemotherapy is given to reduce the risk of recurrence. The consulting medical oncologist decides the number of sessions based on the stage of tumor and the clinical condition of the patient.
    In metastatic disease, chemotherapy is given to control the disease and reduce the symptoms. They prolong the life of the patient and decrease the symptoms related to cancer.
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