Zusammenfassung
Obwohl der Dünndarm 75% der Länge und 90% der Mukosa-Oberfläche des Gastrointestinaltrakts repräsentiert, treten hier nur 1% der malignen Darmtumoren auf. Insgesamt sind maligne Tumoren des Dünndarms mit einem Anteil von 0,3% aller Malignóme extrem selten [1]. Die Gründe für die geringe Inzidenz dieser Malignóme sind noch nicht hinreichend geklärt. Es existieren verschiedene Hypothesen zur Erklärung dieses Phänomens [2]:
-
a)
Verminderte Exposition des Dünndarmes mit dem Darminhalt durch rasche Passage von Zellgiften.
-
b)
Schnelle Proliferation und Erneuerung der Mukosazellen.
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c)
Detoxifizierung der Karzinogene durch mikrosomale Enzyme, insbesondere der Benzpyren-Hydroxylase.
-
d)
Lokale Suppression der Karzinogenese durch immunkompetente Zellen.
-
e)
Relative Steriliät des Darminhaltes.
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Hünerbein, M., Schlag, P.M. (1995). Maligne Tumoren des Dünndarms. In: Schlag, P.M., Dittrich, C. (eds) Maligne gastrointestinale Tumoren. Angewandte Onkologie. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9417-1_15
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DOI: https://doi.org/10.1007/978-3-7091-9417-1_15
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