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Abramson Cancer CenterNCI CANCERLIT® Search: Small Intestine Cancer - July 2002
National Cancer Institute®
Last Modified: July 1, 2002
- Lymphomatous polyp of mantle cell type in the duodenum complicated by gastric cancer: a case of trisomy 3 and t(11;14)(q13;q32).
- p53 gene mutation and MDM2 overexpression in a case of primary malignant fibrous histiocytoma of the jejunum.
- A randomised, double blind, placebo controlled study of celecoxib, a selective cyclooxygenase 2 inhibitor, on duodenal polyposis in familial
- First report of an isolated jejunal seminoma: presentation with melaena and iron deficiency anaemia.
- Jejunojejunal intussusception secondary to lipoma in an adult.
- Primary malignant fibrous histiocytoma of the ileum: report of a case.
- Lymphangioma of the pancreas and the duodenal wall: MR imaging findings.
- A case of Peutz-Jeghers syndrome associated with duodenal carcinoma and sickle cell anemia.
- [Cystic lymphangioma with endosalpingiosis as a rare cause of gastrointestinal bleeding]
- [Crohn's disease and stromal sarcoma of the small bowel--a rare coincidence]
- Leiomyomatosis of mesenteric lymph nodes associated with duodenal adenocarcinoma.
- Impact of the "belly board" device on treatment reproducibility in preoperative radiotherapy for rectal cancer.
- Carcinoma of stomach and duodenum: radiologic diagnosis and staging.
- Radiologic evaluation and staging of small intestine neoplasms.
- Successful resection of ampullary carcinoma in a father and adenoma in a daughter with familial adenomatous polyposis following detection by
- Carcinoid of the ileocaecal valve: a case report.
- [Mechanical versus manual suture in the jejunal esophageal anastomosis after total gastrectomy in gastric cancer]
- [Pancreas-preserving total duodenectomy due to familial adenomatous polyposis in 4 patients]
- [Surgical treatment of malignant tumors in the biliopancreatoduodenal zone]
Table of Contents
1
UI - 11976826
AU - Tsuchiyama J; Yoshino T; Imajo K; Kondou E; Hamada E; Tomiyama Y; Toba
TI -
K; Furukawa T; Fuse I; Aizawa Y; Harada M; Tsubota T
Lymphomatous polyp of mantle cell type in the duodenum complicated by
gastric cancer: a case of trisomy 3 and t(11;14)(q13;q32).
SO - Ann Hematol 2002 Apr;81(4):224-7
AD - First Department of Internal Medicine, Niigata University School of
Medicine, Asahimachi 1-754, 951, Japan. j-tutti@nifty.com
We experienced a rare case of a lymphomatous polyp of mantle cell type
forming a polypoid mass lesion in the duodenum bulbous together with
advanced gastric cancer. A total gastrectomy was performed, and the
specimen revealed atypical small- to medium-sized lymphoid cells with
indented nuclei, which infiltrated the Peyer's patch and formed a
nodular mass in the lamina propria and submucosa of the duodenum. The
lymphoma cells also infiltrated the lymphoid follicle of the gastric
mucosa, spleen, and regional lymph node with a typical mantle zone
pattern. Flow cytometric analysis of the single cells of the lymph node
and immunohistochemistry of a paraffin-embedded specimen revealed that
the lymphoma cells expressed surface CD5, CD19, CD20, and nuclear cyclin
D1. Chromosomal analysis of this single cell suspension revealed that
these lymphoma cells have trisomy 3 in conjunction with
t(11;14)(q13;q32), which is frequently seen in mucosa-associated
lymphoid tissue lymphomas (MALToma) in the stomach and is also reported
in mantle cell lymphoma as a secondary genetic alteration. Our report
suggests that trisomy 3 may be a common chromosomal abnormality in
lymphomatous polyps of mantle cell type.
2
UI - 12064872
AU - Jiao YF; Nakamura S; Sugai T; Habano W; Uesugi N; Oikawa M; Sato T
TI -
p53 gene mutation and MDM2 overexpression in a case of primary malignant
fibrous histiocytoma of the jejunum.
SO - APMIS 2002 Feb;110(2):165-71
AD - Division of Pathology, Central Clinical Laboratory, School of Medicine,
Iwate Medical University, Uchimaru, Morioka, Japan.
Primary malignant fibrous histiocytoma of the gastrointestinal tract is
extremely rare. To date, only 10 cases of primary malignant fibrous
histiocytoma arising in the small intestine have been reported in the
English literature. We describe here the genetic alterations and
morphologic features of a primary malignant fibrous histiocytoma arising
in the jejunum. Immunohistochemically, the tumor cells expressed
vimentin, CD68 and alpha-1-antitrypsin, but were negative for other
markers. Ultrastructurally, they showed features of fibroblasts and
histiocytes. Immunohistochemical overexpression of p53 and MDM2 was
observed. Mutation analysis of the p53 gene detected a missense mutation
in codon 158 of exon 5. Our results suggest that p53 gene mutations and
MDM2 overexpression may play an important role in the tumorigenesis. To
our knowledge, the present report is the first genetic study of this
rare lesion.
3
UI - 12010890
AU - Phillips RK; Wallace MH; Lynch PM; Hawk E; Gordon GB; Saunders BP;
TI -
Wakabayashi N; Shen Y; Zimmerman S; Godio L; Rodrigues-Bigas M; Su LK;
Sherman J; Kelloff G; Levin B; Steinbach G; FAP Study Group
A randomised, double blind, placebo controlled study of celecoxib, a
selective cyclooxygenase 2 inhibitor, on duodenal polyposis in familial
adenomatous polyposis.
SO - Gut 2002 Jun;50(6):857-60
AD - Colorectal Cancer Unit, Imperial Cancer Research Fund, London, UK.
BACKGROUND: Non-selective cyclooxygenase (COX) inhibitors (non-steroidal
anti-inflammatory drugs) inhibit large bowel carcinogenesis in patients
with familial adenomatous polyposis (FAP). Their role in the duodenum of
these patients is less certain. The disease modifying activity of
specific COX-2 inhibitors has not been explored in humans. Patients and
methods: This was a randomised, double blind, placebo controlled study
of celecoxib (100 mg twice daily (n=34) or 400 mg twice daily (n=32))
versus placebo (n=17), given orally twice daily for six months to
patients with FAP. Efficacy was assessed qualitatively by blinded review
of shuffled endoscopy videotapes comparing the extent of duodenal
polyposis at entry and at six months and quantitatively by measurement
of the percentage change in duodenal area covered by discrete and
plaque-like adenomas from photographs of high and low density polyposis.
RESULTS: Shuffled and blinded video review showed a statistically
significant effect of 400 mg twice daily celecoxib compared with placebo
treatment (p=0.033) with all five independent observers scoring a
beneficial effect. Overall, patients taking celecoxib 400 mg twice daily
showed a 14.5% reduction in involved areas compared with a 1.4% for
placebo (p=0.436). However, patients with clinically significant disease
at baseline (greater than 5% covered by polyps) showed a 31% reduction
in involved areas with celecoxib 400 mg twice daily compared with 8% on
placebo (p=0.049). CONCLUSIONS: A panel of five endoscopists found a
significant reduction in duodenal polyposis after six months of
treatment with celecoxib 400 mg twice daily. COX-2 inhibition may help
this otherwise untreatable condition.
4
UI - 11824886
AU - Brown RS; Yassin J; Colville DH; Harland SJ; Payne HA
TI -
First report of an isolated jejunal seminoma: presentation with melaena
and iron deficiency anaemia.
SO - Clin Oncol (R Coll Radiol) 2001;13(6):455-7
AD - Middlesex Hospital, London, UK.
We present the case history of a man with isolated seminoma in the
jejunum and abnormal testes but no provable malignant testicular
disease. Treatment with cisplatin-based chemotherapy led to complete
resolution of the jejunal seminoma. The rarity of seminoma involving the
small bowel is highlighted. A literature search did not reveal other
similar cases of isolated seminoma affecting the jejunum. The possible
origins of this tumour are discussed.
5
UI - 12010304
AU - Cakirer S; Sirvanci M; Duran C
TI -
Jejunojejunal intussusception secondary to lipoma in an adult.
SO - Acta Radiol 2002 Mar;43(2):196-7
AD - Department of Radiology, Istanbul Sisli Etfal Hospital and Kadir Has
University, Turkey.
Lipoma is a rare cause of adult intussusception. We present the CT
findings of an adult patient with jejunojejunal intussusception
secondary to submucosal lipoma as the lead point in this case report.
6
UI - 11510613
AU - Kobayashi K; Narita H; Morimoto K; Hato M; Ito A; Sugiyama K
TI -
Primary malignant fibrous histiocytoma of the ileum: report of a case.
SO - Surg Today 2001;31(8):727-31
AD - Department of Surgery, Kakegawa Municipal Hospital, Sugiya, Japan.
We report herein a case of primary malignant fibrous histiocytoma (MFH)
of the ileum. A 71-year-old Japanese man was admitted to our hospital
with symptoms of abdominal pain and anorexia. Computed tomography,
magnetic resonance imaging, a follow-through study of the small
intestine, and angiography all demonstrated a tumor of the ileum
suggestive of a primary malignancy. A partial resection of the ileum was
performed. It was histopathologically and immunohistochemically
diagnosed to be a storiform-type primary MFH of the ileum with
peritoneal dissemination. There have been a total of 25 cases of primary
small bowel MFH documented in the Japanese or Western literature
including our case. The malignant potential of such tumors is high, and
the prognosis tends to be very poor. Unfortunately, we could not
conclude whether the poor outcome was due to a delayed diagnosis or
instead to its biological malignant behavior, since the number of such
reported cases is still too small to make any definitive conclusions.
7
UI - 11702164
AU - Schneider G; Seidel R; Altmeyer K; Remberger K; Pistorius G; Kramann B;
TI -
Uder M
Lymphangioma of the pancreas and the duodenal wall: MR imaging findings.
SO - Eur Radiol 2001;11(11):2232-5
AD - Department of Diagnostic Radiology, University Hospital, 66421
Homburg/Saar, Germany. ragsne@med-rz.uni-sb.de
Pancreatic lymphangiomas are rare benign tumours with a histogenesis not
yet completely understood. Predominantly the cystic aspect of this
lesion can complicate the differentiation from other neoplastic and
non-neoplastic cystic tumours of the pancreas. We present a case of a
middle-aged woman with a lymphangioma involving the duodenal wall and
the pancreatic head. With special regard to MR imaging findings
differential diagnosis is discussed.
8
UI - 11922580
AU - Avendano-Garcia M; Mercado U; Marin ME
TI -
A case of Peutz-Jeghers syndrome associated with duodenal carcinoma and
sickle cell anemia.
SO - Am J Gastroenterol 2002 Mar;97(3):762-3
9
UI - 11901452
AU - Gerber T; Bontikous S; Smolka G; Vestring T; Schmidt D; Gickler W
TI -
[Cystic lymphangioma with endosalpingiosis as a rare cause of
gastrointestinal bleeding]
SO - Z Gastroenterol 2002 Mar;40(3):183-8
AD - Medizinische Klinik II, Klinikum Osnabruck.
We report on a 31-year-old woman with an iron-deficiency anemia and
positive Guaiac test, existing for more than 2 years. Despite an
extensive gastrointestinal examination a bleeding source could not be
found. Also angiography of the abdominal arteries with injection of
heparin as provocative protocol was normal. Enteroclysis showed a
remarkable finding which led to laparotomy. A cystic lymphangioma with
endolymphatic endosalpingiosis as the bleeding source was identified and
removed.Lymphangioma is a rare benign soft tissue tumor which usually
appears during the first 2 years of life. Only in some cases the
lymphangioma is intraabdominal and there can be different, no specific
symptoms. Endosalpingiosis is also a rare benign disease, it consists of
scattered epithelium of the Fallopian tube. It is the first case to our
knowledge, in which the appearance of the endosalpingiosis in a
lymphangioma is described.
10
UI - 11901454
AU - Laukhuf F; Tischer KH; Strobel K; Wietholtz H
TI -
[Crohn's disease and stromal sarcoma of the small bowel--a rare
coincidence]
SO - Z Gastroenterol 2002 Mar;40(3):193-6
AD - Klinikum Darmstadt, Medizinische Klinik II, Germany.
We report the case of a 29-year-old female who suffers for more than 13
years from Crohn's disease. A small bowel resection had to be performed
because of a complicated and insufficiently controlled course of the
disease with beginning subileus.At laparotomy a leiomyosarcoma was
found. This case represents the forth case in the literature of an
association between chronic inflammatory bowel disease and malign
mesenchymal tumors. Tumors of epithelial and lymphoreticular origin are
known as a much more common complication in Crohn's disease and
especially ulcerative colitis. An exact histological characterization of
these sarcomas is important to define the prognosis of the disease. If
recurrent subileus is poorly controlled in Crohn's disease stromal
tumors with their frequent intraluminal growth have to be considered as
part of the differential diagnosis.
11
UI - 12079162
AU - Lee KF; Lin PY; Cheung YC
TI -
Leiomyomatosis of mesenteric lymph nodes associated with duodenal
adenocarcinoma.
SO - Chang Gung Med J 2002 Apr;25(4):271-4
AD - Department of Pathology, Chang Gung Memorial Hospital, Taipei, Taiwan,
ROC.
Leiomyomatosis of lymph nodes is an extremely rare disease. Only a few
cases have previously been reported in pelvic lymph nodes. They were
related to a benign uterine leiomyoma, a metastasizing uterine
leiomyoma, an endometrial adenocarcinoma, and an ovarian endometrioid
carcinoma. We report on a case of leiomyomatosis of the mesenteric lymph
nodes associated with a duodenal adenocarcinoma with no history of
uterine leiomyoma or any gynecological malignancy. The patient, a
56-year-old woman, was found to have an adenocarcinoma of the duodenum.
All mesenteric lymph nodes removed showed leiomyomatosis, which was
verified by immunohistochemical study showing positive immunostaining
for smooth muscle actin, desmin, and vimentin, but negative staining for
HMB-45. It is necessary to make a differential diagnosis from other
examples of spindle cell proliferation involving lymph nodes such as a
hemorrhagic spindle cell tumor with amianthoid fibers (palisade
myofibroblastoma), angiomyolipoma, lymphangiomyomatosis, inflammatory
pseudotumor, and Kaposi's sarcoma.
12
UI - 12082685
AU - Allal AS; Bischof S; Nouet P
TI -
Impact of the "belly board" device on treatment reproducibility in
preoperative radiotherapy for rectal cancer.
SO - Strahlenther Onkol 2002 May;178(5):259-62
AD - Radiation Oncology Division, University Hospital of Geneva, Geneva,
Switzerland. Abdelkarim.Allal@hcuge.ch
BACKGROUND: The use of the belly board device (BBD) in the prone
position has gained acceptance to spare small bowel in rectal cancer
patients irradiated postoperatively, but there are few data in the
preoperative setting, and the advantages of the BBD regarding normal
tissue sparing may be counteracted by problems of patient positioning.
This study was undertaken to investigate prospectively the influence of
the BBD on treatment reproducibility in patients irradiated
preoperatively in the prone position. PATIENTS AND METHODS: 23 patients
with rectal carcinoma in clinical stages II/III were included in this
study. Axis displacement was evaluated in 14 patients treated without
the BBD and nine with. The BBD is a commercial device (Belly Board,
Radiation Products Design, Albertville, MN) made of a 17-cm thick hard
sponge with an opening of 42 x 42 cm2. No specific patient
immobilization devices were used. During radiotherapy, twelve patients
had four control films, while eleven patients had three. The mean
treatment position deviation was calculated for the medio-lateral,
cranio-caudal and antero-posterior directions. RESULTS: When comparing
the first control film to the corresponding simulation film for patients
without the BBD and with the BBD, the mean lateral displacements were
1.5 mm and 3.2 mm (p = 0.26), the mean cranio-caudal displacements were
1.55 mm and 4.2 mm (p = 0.13), and the mean antero-posterior
displacements were 1.8 mm and 4.5 mm (p = 0.04), respectively. When
considering all control films, for the three directions, the amplitudes
of the displacements were greater when using the BBD, particularly for
the antero-posterior direction where the difference was highly
significant (p = 0.0006). CONCLUSIONS: Our data show that, in patients
treated prone for rectal cancer, the use of the BBD in the preoperative
setting without immobilization devices was associated with problems of
patient position reproducibility, particularly for the antero-posterior
direction. Thus, the use of patient immobilization devices and/or
individual custom-made BBD may be recommended if a decision to treat the
patient with a BBD is taken.
13
UI - 12044697
AU - Tunaci M
TI -
Carcinoma of stomach and duodenum: radiologic diagnosis and staging.
SO - Eur J Radiol 2002 Jun;42(3):181-92
AD - Department of Radiology, Istanbul Faculty of Medicine, 34390 Capa,
Istanbul, Turkey. mehtapunaci@yahoo.com
Gastric carcinoma is one of the leading causes of cancer mortality
worldwide. Accurate preoperative staging of gastric cancer is important
in planning the most effective therapy toward cure or palliation. This
article reviews the radiologic diagnosis and staging of gastric cancer.
14
UI - 12044698
AU - Korman MU
TI -
Radiologic evaluation and staging of small intestine neoplasms.
SO - Eur J Radiol 2002 Jun;42(3):193-205
AD - Department of Radiology, Cerrahpasa Medical Faculty, Istanbul
University, 34300 Kocamustafapasa, Istanbul, Turkey.
The small intestine is an uncommon location for neoplasms in either
clinical or radiological practice. Because of its anatomic location and
morphology, diagnosis of the diseases that affect small intestine pose
difficulties. Symptoms are nonspecific and endoscopy is commonly
unsatisfactory. Since early and definite diagnosis is crucial for prompt
therapy, radiological imaging plays an essential role. Enteroclysis is
the primary and effective radiologic modality in the evaluation of small
bowel neoplasms. On the other hand, computed tomography should be the
complementary radiologic method as well as for staging. In this review,
the most common neoplasms of the small intestine and their common
radiologic findings have been discussed.
15
UI - 11827193
AU - Takahashi M; Minabe D; Kotani A; Kito F; Koganei K; Fukushima T
TI -
Successful resection of ampullary carcinoma in a father and adenoma in a
daughter with familial adenomatous polyposis following detection by
surveillance: report of two cases.
SO - Surg Today 2001;31(12):1100-3
AD - Division of Surgery, Yokohama Municipal Citizen's Hospital, Japan.
This report describes the successful resection of ampullary carcinoma in
a 58-year-old man and an adenoma in his 28-year-old daughter after they
had undergone proctocolectomy for familial adenomatous polyposis (FAP).
Both patients had been monitored by surveillance endoscopy once a year
since their proctocolectomy. The father was found to have an ampullary
adenoma 26 years after proctocolectomy, and ampullary carcinoma was
detected 2 years later, for which pancreatoduodenectomy was performed.
Histological examination of the specimen revealed an ampullary
carcinoma, 2.5 x 1.7 cm, that had invaded the submucosal layer, but no
lymph node metastasis was found. The patient's daughter underwent
endoscopy, which showed an ampullary polyp 6 years after total
colectomy. Endoscopic mucosal resection of the periampullary lesion was
performed, and histological examination revealed a dysplastic tubular
adenoma 0.6 x 0.4 cm in diameter. This report reinforces the importance
of long-term periodic surveillance of patients with FAP by
gastroduodenal endoscopy.
16
UI - 11824067
AU - Di Cataldo A; Greco S; Caldarella P; Lanteri R; Li Destri G; Licata A
TI -
Carcinoid of the ileocaecal valve: a case report.
SO - Chir Ital 2001 Nov-Dec;53(6):879-82
AD - Cattedra di Chirurgia dell'Apparato Digerente, Policlinico
Universitario, Universita degli Studi di Catania.
The authors present a case of carcinoid of the ileocaecal valve. The
patient complained for over one year of mild pain in the right lower
quadrant of the abdomen. Colonoscopy had shown hyperaemia on the colic
side of the ileocaecal valve which appeared substenotic and biopsy
revealed micronodules formed by chromogranin-A-positive neuroendocrine
cells. Roentgenography of the small bowel and barium enema revealed a
specular filling defect in the caecum and in the terminal ileum near the
ileocaecal valve. Right hemicolectomy was performed and the definitive
diagnosis was carcinoid of the ileocaecal valve. The tumour had spread
to all layers of the intestinal wall and 4/19 lymph nodes were
metastatic. The patient refused an oncological examination; however,
three years after surgery there are no signs of recurrence. Carcinoids
have been included in the APUD system and usually present endocrine
activity. The 5-year survival of patients with gastrointestinal
carcinoids is 80% when located in the appendix and rectum as against 50%
in the stomach, jejunum and colon, because the localisation in the
appendix and rectum is marked by clinical signs of appendicitis and
rectal bleeding, which suggest diagnostic examinations useful for an
early diagnosis. Radical operations according to the rules of
oncologically correct surgery are the treatment of choice, while
complementary treatments have yet to be codified.
17
UI - 11818987
AU - Celis J; Ruiz E; Berrospi F; Payet E
TI -
[Mechanical versus manual suture in the jejunal esophageal anastomosis
after total gastrectomy in gastric cancer]
SO - Rev Gastroenterol Peru 2001 Oct-Dec;21(4):271-5
AD - Departamento de Abdomen, Instituto de Enfermedades Neoplasicas, Lima,
Peru.
AIM: To compare the leakage rate of esophagojejunal anastomosis
performed with stapler or hand sutures. MATERIAL AND METHODS: We studied
a series of 367 patients who underwent total gastrectomy for gastric
cancer at the Instituto de Enfermedades Neoplasicas (Lima-Peru) from
1986 to 1999. RESULTS: In 197 patients esophagojejunal anastomosis was
performed with stapler and in 170 with manual sutures. There were no
differences between both groups with regard to age, TNM stage, operating
time and hospital stay. There were 8 anastomotic leakage (4.1%) in the
stapler group and 4 (2.4%) in the hand sutures group (p> 0.05). Of these
12 cases, 2 patients (16%) died of causes directly related to the leak
of the esophagojejunal anastomosis. CONCLUSION: There were no
statistical differences in the rate of leakage of the esophagojejunal
anastomosis performed with stapler or hand sutures, thus both techniques
should be accepted as standard procedures.
18
UI - 11957383
AU - Konsten JL; Kazemier G; Dees J; van Eijck CH
TI -
[Pancreas-preserving total duodenectomy due to familial adenomatous
polyposis in 4 patients]
SO - Ned Tijdschr Geneeskd 2002 Mar 30;146(13):621-4
AD - Academisch Ziekenhuis Rotterdam-Dijkzigt, Dr. Molewaterplein 40, 3015 GD
Rotterdam.
In 4 patients with familial adenomatous polyposis (FAP) and multiple
severe dysplastic adenomas in the duodenum (a 42-year-old woman and 3
men aged 44, 53 and 33 years, respectively), pancreas-preserving total
duodenectomy (PPTD) was carried out. In 2 of the patients, serious early
post-operative complications arose (leakage and haemorrhage of the
gastrojejunostomy, respectively), and 1 patient developed a late
complication (attacks of pancreatitis). During the 1-5-year follow-up
period, small villous adenomas were seen in the jejunum (neoduodenum) of
1 of the patients. PPTD is a technically possible procedure which allows
targeted treatment to be carried out if duodenum polyps are found upon
endoscopic examination.
19
UI - 12077832
AU - Shoikhet IaN; Moskvitina LN; Slukhai EIu; Mar'ian AV; Smirnov AK
TI -
[Surgical treatment of malignant tumors in the biliopancreatoduodenal
zone]
SO - Khirurgiia (Mosk) 2002;(5):30-3
Results of surgical treatment of 381 patients with cancer of
biliopancreatoduodenal zone associated with obstructive jaundice were
analyzed. Mean level of bilirubinemia was 182 +/- 12 mcmol/l.
Cholecystoanastomosis was created in the majority of cases (51.4%).
Radical surgery was carried out in 31 patients. Postoperative
complications were seen in 155 (41%) patients. Renal-hepatic failure
(28.1%) and purulent-septic complications (25.2%) were dominant.
Lethality after radical operations was 12.9%, after palliative--15.7%.
Inhibiting effect of autoplasma on phagocytosis and decrease of
phagocytosis indexes 1.5-2 times are the risk factors of postoperative
purulent-septic complications development. Discrete plasmapheresis
reduces of postoperative purulent-septic complications rate.
The above citations and abstracts reflect those newly added to CANCERLIT for the month and topic listed in the title. The citations have been retrieved from CANCERLIT using a predefined search strategy of indexed subject terms. Although the search strategy has been refined as best as possible, citations may appear that are not directly related to the topic, and occasionally relevant references may be omitted.
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