National Cancer Institute®
Last Modified: October 1, 2002
UI - 12096315
AU - Marin M; Vlad L; Grigorescu M; Sparchez Z; Dumitra D; Muti L
TI - Metastasis of malignant melanoma in the small intestine. A case report.
SO - Rom J Gastroenterol 2002 Mar;11(1):53-6
AD - 3rd Medical Clinic, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Malignant melanoma is the most common metastatic tumor of the gastrointestinal tract and can present with fairly non-specific symptoms. A 63-year old man with previous enucleation of the left eye for a malignant coroidian melanoma presented signs of intestinal subocclusion. Weight loss and a palpable mass deep on the paraumbilical left region were the significant physical signs. Because the state of the patient had worsened, the diagnosis was made by ultrasonography examination. Segmental intestinal resection with regional lymph node dissection was performed. Surgical resection can be performed safely as patients for whom all sites of disease are completely resected experience significant improvements in survival times, compared with patients who undergo an incomplete resection. For selected patients, surgical treatment of metastatic melanoma involving the gastrointestinal tract is appropriate therapy.
UI - 12119529
AU - Bellows CF; Haque S; Jaffe BM
TI - Two unusual cases of adult intussusception.
SO - Dig Surg 2002;19(3):241-4
AD - Department of Surgery, Tulane University School of Medicine, New Orleans, La 70122, USA.
Adult intussusception is very rare. We report 2 unusual cases, a 58-year-old man with a transverse colo-colonic intussusception caused by a malignant sessile polyp that also had an asymptomatic synchronous neoplasm of the kidney, and an 18-year-old female with an ileocecolic intussusception caused by acute appendicitis. This report stresses the point that intussusception in adults may represent an underlying malignancy. The age of the patient and the anatomic location of the intussusception provide significant input as to the etiology and hence the most appropriate surgical procedure. Copyright 2002 S. Karger AG, Basel
UI - 12182011
AU - Lorenc Z; Starzewski JJ; Jachymczyk M
TI - [Metachronous tumor of the small intestine--rare cause of ileus in a patient after resection of colon cancer]
SO - Wiad Lek 2002;55(3-4):239-42
AD - Katedry i Oddzialu Klinicznego Chirurgii Ogolnej i Koloproktologicznej w Sosnowcu. email@example.com
Neoplastic metastases in the small intestine are rare--only 2% of the metastases are localized in the small intestine. It is important to remember that colorectal metastases are the most frequent, though metachronous cancer of the small intestine is the rare cause of ileus or bleeding in patients who underwent resection of the colorectal cancer. The challenge is to select among those patients, the ones with metachronous tumor in the other parts of the small and large bowel. The diagnostics in these situations is often difficult and only the operative management is an optimal way of treatment. We present the case of the patient with metachronous cancer of the small intestine after the sigmoid resection and the diagnostic difficulties concerned.
UI - 11917640
AU - Juglard R; Vidal V; Calvet P; Dussaut JP; Barea D; Colineau X; Tourrette
TI - JH; Solacroup JC [Plasmacytoma and AIDS: unusual duodenal localization]
SO - J Radiol 2001 Dec;82(12 Pt 1):1729-31
AD - Service de Radiologie, HIA Sainte Anne, Boulevard Sainte Anne, 83800 Toulon Naval.
We report an uncommon presentation of plasmocytoma in an AIDS patient. AIDS is associated with an increased risk of neoplasms. The incidence of Plasma Cell tumors in HIV-positive patients is greater than in non-infected patients. Multiple factors contribute to B cell neoplasms development.
UI - 11931536
AU - Joo YE; Kim HS; Choi SK; Rew JS; Park CS; Kim SJ
TI - Primary duodenal adenocarcinoma associated with neurofibromatosis type 1.
SO - J Gastroenterol 2002;37(3):215-9
AD - Department of Internal Medicine, Chonnam National University Medical School, Kwangju, Korea.
It is well known that patients with neurofibromatosis have an increased incidence of various neoplasms, most of these being tumors of neural-crest origin, including neurofibromas, leiomyomas, ganglioneuromas, paragangliomas, and carcinoids. However, the occurrence of small-bowel adenocarcinoma is rare. In this article, we report a patient with small-bowel adenocarcinoma, the seventh such reported case. We include a review of the literature and a brief discussion of the implications of this association. We suggest that the association between small-bowel adenocarcinomas and neurofibromatosis may not be fortuitous, and that small-bowel adenocarcinoma should be considered, in particular. in the differential diagnosis of gastrointestinal symptoms in patients with neurofibromatosis. Also, a definite histologic diagnosis must be made, with the employment of special staining techniques, because of the differing prognoses for various cell types.
UI - 12192212
AU - Tanaka S; Onoue G; Fujimoto T; Kosaka T; Yamasaki H; Yasui Y; Konaga E;
TI - Teramoto N; Okada H; Mizuno M; Shiratori Y A case of primary follicular lymphoma in the duodenum confined to the mucosal layer.
SO - J Clin Gastroenterol 2002 Sep;35(3):285-6
UI - 11926559
AU - Cremon C; Barbara G; De Giorgio R; Salvioli B; Epifanio G; Gizzi G;
TI - Stanghellini V; Corinaldesi R Upper gastrointestinal bleeding due to duodenal metastasis from primary lung carcinoma.
SO - Dig Liver Dis 2002 Feb;34(2):141-3
AD - Department of Internal Medicine and Gastroenterology, University of Bologna, Italy.
Metastatic dissemination of lung carcinoma may involve virtually all organs, however, symptomatic spread to the small bowel is a rare occurrence. Herein, we report a case of duodenal metastatic involvement leading to severe upper gastrointestinal bleeding in the absence of symptoms referable to the primary tumour.
UI - 12223939
AU - Barbier C; Aiouaz C; Denny P; Becker S; Ravey M
TI - [Jejunal volvulus secondary to torsion of a pedunculated subserosal lipoma: CT diagnosis of a rare cause of bowel obstruction]
SO - J Radiol 2002 Jul-Aug;83(7-8):986-8
AD - Service d'Imagerie Medicale, Maroc, France. firstname.lastname@example.org
The authors report a case of a bowel obstruction secondary to jejunal volvulus in relation with the torsion of a large pedunculated subserosal lipoma. To our knowledge, no such case has ever been reported. The differential diagnosis of intra-abdominal fatty tumors and differential diagnosis of such tumors in association with small bowel obstruction will be discussed. Small bowel volvulus secondary to torsion of a subserosal lipoma should be considered when CT shows a large encapsulated fatty tumor in a patient with suggestion of mechanical small bowel obstruction.
UI - 12365469
AU - Jansen JM; Stuifbergen WN; van Milligen de Wit AW
TI - Endoscopic resection of a large Brunner's gland adenoma.
SO - Neth J Med 2002 Jul;60(6):253-5
AD - St. Elisabeth Hospital, Department of Internal Medicine and Gastroenterology, Tilburg, The Netherlands. email@example.com
Brunner's gland adenoma is a rare benign tumour of the duodenum. Less than 150 cases have been reported in English literature. We report a 73-year-old woman presenting with upper gastrointestinal obstructive symptoms and melena. Duodenoscopy revealed a large pedunculated tumour in the bulbus duodeni. Endoscopic snare polypectomy was successfully performed. Histological examination revealed a Brunner's gland adenoma. The literature on Brunner's gland adenoma is reviewed.
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