Primary lymphosarcoma of the small intestine.Analysis of thirteen cases and review of the literature

Marcuse, Peter; Stout, Arthur Purdy

doi:10.1002/1097-0142(1950)3:3<459::aid-cncr2820030306>3.0.co;2-e

Cited by 67 publications

(3 citation statements)

References 35 publications

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“…Presently, it is known that LFH in individuals over 25 years of age can be related with infections and neoplasies (7,9,10,12,18,19,22,23) . Even though there have not been found descriptions or classifications in publications which mentioned endoscopic aspect of the terminal ileum, being reported only as normal ileum (3, 6, 13, 20, 21 24, 26) .…”

Section: Discussionmentioning

confidence: 99%

Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects

Melo

Cury

Ronchi

et al. 2009

Arq. Gastroenterol.

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-Context -For the diagnosis of the diseases which affect the terminal ileum, the colonoscopy allows macroscopic evaluation and the performing of biopsies. Studies with criteria for the endoscopic and histological characterization of this segment are scarce and there are still some doubts about the need of biopsies in patients with normal ileoscopy. Objective -Study the terminal ileum of patients who underwent colonoscopy considering: endoscopic and histological correlation; agreement between results of the initial histological evaluation and slides review, and the chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea to show histological alterations.Methods -In a prospective study, 111 patients who presented smooth mucosa without enanthema in the endoscopic exam of the terminal ileum were selected. Biopsies of the ileal mucosa of such patients were performed, being the slides routinely examined and reviewed afterwards. Results -The correlation between patients with normal ileoscopy and ileum with preserved histological architecture was of 99.1%. The agreement between initial histological evaluation and slides review calculated by the Kappa test was 0.21. In patients with abdominal pain and/or chronic diarrhea, the chance of showing histological alterations was 2.5 times higher than the others. Conclusions -The correlation between endoscopic and histological findings was high. The agreement between the initial histologic evaluation and slides review was not satisfactory. The chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea, showing histological alterations was higher in relation to the asymptomatic ones or with other symptoms, although the clinical importance of this datum was not evaluated.

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Section: Discussionmentioning

confidence: 99%

Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects

Melo

Cury

Ronchi

et al. 2009

Arq. Gastroenterol.

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“…In most cases, however, the small intestine distant from the tumor is normal. 8 This patient's intestinal disease most closely resembles the third type, diffuse nodular lymphoid hyperplasia. Nodular lymphoid hyperplasia, also known as follicular lymphoid hyperplasia, is characterized by markedly hyperplastic, mitotically active germinal centers with well-defined lymphocyte mantles.…”

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confidence: 81%

Case 8-1997

Wang¹,

Zukerberg²

1997

N Engl J Med

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“…Após mais de três décadas, embora se tenha conseguido examinar o íleo terminal em 93% dos pacientes submetidos à colonoscopia 27 , tanto a descrição como a classificação endoscópica do íleo terminal ainda permanecem inalteradas, perpetuando critérios duvidosos como a consideração de HFL aspecto endoscópico normal. Atualmente, sabese que HFL em indivíduos com mais de 25 anos pode estar relacionada a infecções e neoplasias [18][19][20][21][22][23][24][25] .…”

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Aspectos endoscópicos no diagnóstico de doenças que acometem o íleo terminal

Melo

Netinho²

2010

Rev. Col. Bras. Cir.

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O íleo compreende cerca de 3/5 distais do intestino delgado, sendo responsável pela digestão e absorção de alimentos. O diagnóstico de doenças que afetam esse segmento pode ser feito por meio de avaliação clínica e exames complementares. A colonoscopia, além da possibilidade de análise macroscópica, permite realização de biópsias para avaliação histológica. Apenas três publicações sobre a descrição das características endoscópicas do íleo terminal foram encontradas na literatura. Ainda assim, não foram encontradas descrições ou classificação em publicações que mencionavam o aspecto endoscópico do íleo terminal, sendo reportados apenas como íleo normal. Isso reforça a idéia do desconhecimento ou não aceitação dessas pela comunidade científica. Os aspectos endoscópicos desse segmento, quando afetado por diversas doenças variam de íleo endoscopicamente normal a casos que o exame macroscópico demonstra características especificas dessas doenças. Nesse estudo, existem dúvidas quanto à necessidade de biópsias desse segmento em pacientes com ileoscopia normal. Além disso, foram encontrados poucos estudos com critérios para caracterização macro e microscópica do íleo.

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Primary lymphosarcoma of the small intestine.Analysis of thirteen cases and review of the literature

Cited by 67 publications

References 35 publications

Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects

Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects

Case 8-1997

Aspectos endoscópicos no diagnóstico de doenças que acometem o íleo terminal

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