Presentation
CONCLUSION: Jejunal leiomyoma should be considered in a child with neurofibromatosis presenting with gastro-intestinal bleeding. [ncbi.nlm.nih.gov]
Conclusion Jejunal leiomyoma should be considered in a child with neurofibromatosis presenting with gastro-intestinal bleeding. [link.springer.com]
It can present as a small submucosal nodule with arterial enhancement (image) and sometimes they lead to intussusception. GIST Typical GIST in the ileum presenting as an exophytic tumor. [radiologyassistant.nl]
Entire Body System
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Splenectomy
Liver biopsy and sampling of nodes outside the field of resection are important, although splenectomy is not indicated. In patients with localised disease, resection of the involved bowel with a wide margin of adjacent mesentery is performed. [surgwiki.com]
Gastrointestinal
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Melena
Abstract A 41-year-old woman visited a local doctor with the chief complaint of massive melena. Upper and lower gastrointestinal endoscopy as well as abdominal computed tomography failed to reveal the source of the bleeding. [jstage.jst.go.jp]
In the case of leiomyoma of the jejunum with massive enterorrhagia and melena reported below, the preoperative diagnosis was bleeding duodenal ulcer.Leiomyoma of the small intestine is rare. [nejm.org]
Their clinical manifestations can include abdominal pain, diarrhea, melena, a palpable abdominal mass and weight loss. [academic.oup.com]
[…] jejunum, 010813, 漿膜, ショウマク, serosa, 011358, 再建術, サイケンジュツ, reconstructive surgery, 059071, 症例報告, ショウレイホウコク, case report, 054676, 男性, ダンセイ(オトコ), man, 017125, ダンセイ, 成人, セイジン, adult(person), 017082, adult, ヒト, ヒト, human(primates), 012150, human, 下血, ゲケツ, melena [togodb.biosciencedbc.jp]
Case 1 was a 74-year-old female, who had a history of receiving multiple blood transfusions because of recurrent melena for several years. [iss.ndl.go.jp]
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Intestinal Disease
disease, 054586, 胃腸疾患, イチョウシッカン, gastrointestinal disease, 054588, 消化器疾患, ショウカキシッカン, digestive system disease, 012793, 病気, ビョウキ, disease, 017213, 腸腫瘍, チョウシュヨウ, intestinal tumor, 054236, 消化器腫瘍, ショウカキシュヨウ, digestive system tumor, 054234, 腫瘍, シュヨウ, tumor [togodb.biosciencedbc.jp]
disease (IPSID, Mediterranean lymphoma or diffuse small intestinal lymphoma ) Various genetic disorders are also associated with an increased incidence of small bowel tumors 1,2 : Peutz-Jeghers syndrome : hamartomatous polyps Gardner's syndrome : adenoma [radiopaedia.org]
Following resectable nodal metastases, median survival is 15 years.With non-resectable intestinal disease or liver metastases, survivals are 5 and 3 years, respectively. [surgwiki.com]
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Acute Abdomen
We have presented a case with the rare complication of a free perforation between the tumor and the peritoneal cavity, causing an acute abdomen. [ncbi.nlm.nih.gov]
We report a case of a 45 years old man with a perforate acute abdomen. At laparotomy, a 12 cm multilobulated firm mass, located 20 cm distal from Treitz ligament, was removed. Histological sections disclosed a jejunal leiomyoma. [ingentaconnect.com]
Clinical presentation of small bowel tumours Maligant Benign Weight loss Yes No Abdominal pain Yes Yes Small bowel obstruction Yes Yes Gastrointestinal Yes Yes bleeding Abdominal mass Yes Rare Acute abdomen Yes No (perforation) Miscellaneous Obstructive [surgwiki.com]
Psychiatrical
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Suggestibility
On surgery, a submucosal tumour was excised and histological examination suggested a diagnosis of "smooth muscle tumour of undetermined malignant potential". There were no recurrence of symptoms for 4 years after the operation. [ncbi.nlm.nih.gov]
On surgery, a submucosal tumour was excised and histological examination suggested a diagnosis of “smooth muscle tumour of undetermined malignant potential”. There were no recurrence of symptoms for 4 years after the operation. [link.springer.com]
There were no features to suggestive of a neoplasm. Physical examination and lab tests were non-contributory except for a positive fecal occult blood. Fibro-optic colonoscopy revealed a moderate diverticular disease. [ispub.com]
Small bowel contrast studies may suggest the presence of a tumour mass and CT may reveal bulky mesenteric nodes associated with thickened bowel or a large mass. [surgwiki.com]
The appearance of the mass was suggestive of a colon tumor. Colonoscopy up to 60cm revealed no pathology and mucosal biopsies were normal. A diagnostic laparoscopy was performed 12 days after admission. [saudijgastro.com]
Workup
With MRI spatial resolution less than that achieved with conventional enteroclysis or CT, therefore it is less useful for evaluation of lesions Endoscopic ultrasonography (EUS) is very sensitive and effective for the workup of neoplasms in the ampullary [radiopaedia.org]
Treatment
Metastatis to small bowel is rare, treatment is chemotherapy and the prognosis is poor. [omicsonline.org]
Small noncancerous growths may be destroyed by treatments applied through a flexible viewing tube (endoscope—see Endoscopy ) inserted into the intestine. [merckmanuals.com]
A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. [limamemorial.org]
Treatment often involves surgery. Benign tumors usually don't grow back. [icdlist.com]
However, the relief is only temporary and the fibroids recur once the treatment is stopped. In addition, these treatments cause side effects similar to menopause. [medical-dictionary.thefreedictionary.com]
Prognosis
Metastatis to small bowel is rare, treatment is chemotherapy and the prognosis is poor. [omicsonline.org]
Outcome Prognosis depends on the stage of the disease and histological grade. Histological grade is determined by cellularity, nuclear atypia and number of mitoses. [surgwiki.com]
Prognosis of leiomyomas after surgery is excellent [ 2 ]. Conclusions Leiomyomas are infrequent tumors and few cases have been reported in the English literature. [npplweb.com]
Leiomyosarcoma of the inferior vena cava: prognosis and comparison with leiomyosarcoma of other anatomic sites. Cancer 1999; 85 :1077–1083. 57. Hollenbeck ST, Grobmyer SR, Kent KC et al. [nature.com]
Etiology
(Etiology) The exact cause of Leiomyoma of Colon is unknown. Researchers have documented certain genetic changes within the tumor. However, cases where these specific genetic mutations have been observed are rare. [dovemed.com]
While duodenal ulcers and diverticulosis are certainly more common than symptomatic neoplasms of the small intestine, it is important to have a higher index of suspicion for additional etiologies, especially when irregularities of imaging studies are [academic.oup.com]
Epidemiology
Brooks SE, Zhan M, Cote T, Baquet CR (2004) Surveillance, epidemiology, and end results analysis of 2677 cases of uterine sarcoma 1989-1999. Gynecol Oncol 93:204. [omicsonline.org]
Epidemiology Small bowel cancers are more common in developed Western countries. The incidence of small bowel malignancy is about 1.5 cases per 100 000 population. [surgwiki.com]
A population-based epidemiologic and prognostic study of 48 patients, including cellular DNA content. Cancer 1992; 70 :114–119. 40. Hashimoto H, Daimaru Y, Tsuneyoshi M et al. Leiomyosarcoma of the external soft tissues. [nature.com]
Pathophysiology
The literature is revised emphasizing issues of pathophysiology, specific characteristics and the treatment of this tumour. [jsurgacad.com]
Prevention
Hence, a complete removal of the tumor is recommended How can Leiomyoma of Colon be Prevented? Currently, no known preventive methods exist for Leiomyoma of Colon. [dovemed.com]
With advanced disease, debulking or palliative resection is performed to prevent complications of bleeding or perforation, provided excessive removal of normal small bowel is avoided. [surgwiki.com]