The Difficulties of Diagnosis and Choice of Treatment Tactics of Neuroendocrine Tumors of the Small Intestine

Лысанюк, М В; Майстренко, Н. А.; Romashchenko, P. N.

doi:10.24884/0042-4625-2018-177-4-76-80

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Нейроэндокринные опухоли желудочно-кишечного тракта, согласно данным литературы, встречаются с частотой 10-20 случаев на 1 млн населения в год, при этом именно тонкая кишка является наиболее распространенной локализацией карциноидных опухолей (около 45 %) [5,6]. Чаще всего опухоли имеют кольцевидную форму, постепенно суживающую просвет кишки с неизбежным нарушением кишечного пассажа [7].…”

Section: Introductionunclassified

A case of successful treatment of a neuroendocrine tumor of the small intestine complicated by partial intestinal obstruction

Kurkov

Сигуа²,

Lataria³

et al. 2023

HERALD of North-Western State Medical University named after I.

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The incidence of neoplasms of the small intestine does not exceed 3% in the structure of all tumors of the gastrointestinal tract. Among them, the frequency of neuroendocrine tumors is about 30%. Due to the absence of pathognomonic symptoms, such tumors are usually detected at the stage of surgical complications such as intestinal obstruction or intestinal necrosis. In such a situation, the oncological process is already either locally widespread or generalized. Therefore, timely diagnosis of tumors should be based not only on the complaints and anamnesis, allowing to suspect the development of complications, but also on the use of modern imaging methods. A clinical case demonstrating the difficulties of timely diagnosis of a neuroendocrine tumor of the small intestine is presented.

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Section: Introductionunclassified

A case of successful treatment of a neuroendocrine tumor of the small intestine complicated by partial intestinal obstruction

Kurkov

Сигуа²,

Lataria³

et al. 2023

HERALD of North-Western State Medical University named after I.

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Diagnostic difficulties of small intestinal neuroendocrine tumors: clinical case

Kotelnikova

Shatrova²,

Trukhacheva³

2022

Perm Medical Journal

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The objective of the study was to demonstrate the difficulties of diagnosing the neuroendocrine tumor (NET) of the small intestine at the example of a concrete clinical case. In the case presented, clinical manifestations of the disease were nonspecific and the examination began from a low-informative method multispiral computed tomography (MSCT) without a bolus contrast study that was the reason of wrong diagnosis for 7 months. The detection of the swollen lymph node in the mesentery was interpreted incorrectly; additionally, only endoscopic investigation of the stomach and large intestine was used. By means of MSCT-angiography we succeeded to diagnose not only the lymph node conglomerate in the mesentery, but to reveal a tumor sized 915 cm in the ileac wall. Laparoscopy with lymph node biopsy after its morphological study permitted to verify the diagnosis before the surgery. To reduce the period of diagnostics of small intestinal NET, general practitioners should be informed on specific features of clinical manifestations of the disease and rational diagnostic methods. MSCT-angiography showed its efficiency in detection of small-sized small intestinal NET, and laparoscopy with biopsy of the mesentery lymph node will permit to verify the diagnosis before surgery.

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The Difficulties of Diagnosis and Choice of Treatment Tactics of Neuroendocrine Tumors of the Small Intestine

Cited by 2 publications

References 6 publications

A case of successful treatment of a neuroendocrine tumor of the small intestine complicated by partial intestinal obstruction

A case of successful treatment of a neuroendocrine tumor of the small intestine complicated by partial intestinal obstruction

Diagnostic difficulties of small intestinal neuroendocrine tumors: clinical case

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