Jejunal carcinoid tumor mimicking leiomyosarcoma: preoperative diagnosis by endoscopic biopsy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-01

AUTHORS

Yukinari Yoshida, Takao Endo, Yasushi Sasaki, Fumio Itoh, Shigeru Sasaki, Yoshiaki Arimura, Masayuki Arashi, Masanori Ohara, Masahiro Fujita, Masao Hosokawa, Kohzoh Imai

ABSTRACT

: Primary carcinoid tumor of the jejunum is rare, and is an unusual cause of massive gastrointestinal bleeding. A case of primary jejunal carcinoid tumor in a 39-year-old woman who presented with massive hematochezia is described. Both upper and lower gastrointestinal endoscopies showed no abnormalities. An abdominal computed tomographic scan, small-bowel barium contrast studies, and small-bowel endoscopy showed a subserosal mass, of 5 × 4 cm, with a cavity suggesting central necrosis, and a deep mucosal ulceration, located in the proximal jejunum. Although these clinical presentations were strongly suggestive of a leiomyosarcoma, histologic examination of biopsy samples obtained by enteroscopy confirmed the diagnosis of jejunal carcinoid tumor. The patient underwent radical jejunal resection and recovered uneventfully. In spite of the large size of the tumor, there was one solitary lymph node metastasis, but no evidence of liver metastases. This kind of jejunal carcinoid tumor, presenting with massive gastrointestinal bleeding and a subserosal bulky growth mimicking a leiomyosarcoma, has not been reported previously. Moreover, this is a rare case of a jejunal carcinoid which was diagnosed preoperatively by small bowel-endoscopic biopsy. More... »

PAGES

39-43

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s005350170152

DOI

http://dx.doi.org/10.1007/s005350170152

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1016631617

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11211209


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