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- Title
Preoperative diagnostic value of single-balloon enteroscopy for successful surgical treatment of three independent-origin gastrointestinal malignant tumors: Report of a case.
- Authors
Yoshiya, Shohei; Sugimachi, Keishi; Nakamura, Shigeo; Yaita, Hiroki; Fuyuno, Yuta; Kitagawa, Dai; Shimokama, Tatsuro; Higashi, Hidefumi
- Abstract
67-year-old woman with bloody stools underwent esophagogastroduodenoscopy and colonoscopy, which revealed the presence of a submucosal tumor in the stomach and an adenocarcinoma in the ascending colon. Preoperative screening disclosed an additional 10-cm tumor in the abdomen between the gastric and colonic lesions. Single-balloon enteroscopy was therefore performed. A nonstenotic, circumferential, bleeding ulcerative lesion was found in the jejunum, and the biopsy revealed malignant lymphoma (ML). A partial resection of the small intestine, ascending colectomy, and wedge resection of the stomach were performed, then systemic chemotherapy for ML was started 2 weeks after surgery. Triple gastrointestinal malignant tumors with different histologies are extremely rare, and have not been previously reported. Single-balloon enteroscopy in this case led to a definite diagnosis by biopsy, thus allowing the patient to receive chemotherapy as soon as possible after surgery.
- Subjects
CASE studies; COLONOSCOPY; ESOPHAGEAL surgery; STOMACH cancer; LYMPHOMAS
- Publication
Surgery Today, 2011, Vol 41, Issue 7, p1007
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-010-4399-5