A CASE OF ADENOCARCINOMA OF THE SMALL INTESTINE IN A YOUNG WOMAN
| Autor: | Shinya Ueda, Yuko Tazuke, Junichi Sumimura, Shin Mizutani, Yoshikazu Morimoto, Teruhisa Sakurai |
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| Rok vydání: | 1999 |
| Předmět: | |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 60:134-138 |
| ISSN: | 1882-5133 1345-2843 |
| Popis: | A case of adenocarcinoma of the small intestine in a young woman in described. A 24-year-old woman was referred to the hospital for further investigation and treatment of episodic abdominal pain. Abdominal ultrasonography demonstrated a low echoic mass adjacent to the right ovary, approximately 5×4cm in size. Small intestinal barium enema study showed a filling defect in the terminal ileum, and a colonoscopy confirmed a hemorrhagic tumor in the same region. Radical iliocecal recection with mesenteric lymph nodes dissection was performed. No tissue invasions or lymph nodes metastases were found in frozen sections intraop-eratively. The histopathological diagnosis was adenocarcinoma. The patient showed an uneventful recovery and has survived without any signs of recurrences or metastases. Malignant tumors of the small intestine are rare, especially in a young generation. In the treatment of the disease, surgical resection is mandatory, however, no definite criteria for regional lymph nodes dissection have been established as yet. We think that intraoperative frozen section diagnosis is very helpful to improve the radicality of surgery. |
| Databáze: | OpenAIRE |
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