PET‐CTと小腸内視鏡で診断された小腸癌の1例

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  • SMALL INTESTINAL CARCINOMA DIAGNOSED BY PET-CT AND SMALL INTESTINAL ENDOSCOPY-REPORT OF A RESECTED CASE-

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A 60-year-old female with an abnormal mass on the right lower abdominal wall was diagnosed to have metastatic adenocarcinoma with excisional biopsy. Gastrofiberscopy, colonofiberscopy and jejuno-graphy could not detect the original lesion, however, PET-CT revealed the lesion in the left middle abdomen. Small intestinal endoscopy indicated the tumor with ulceration and severe stenosis in the jejunum about 15cm from the Treitz ligament. The biopsy specimen revealed moderately differentiated adenocarcinoma histologically. Partial resection of the jejunum was performed, and the postoperative course was uneventful, and chemotherapy was adapted from 17 postoperative days. PET-CT and small intestinal endoscopy were effective in detecting and diagnosing jejunal cancer.

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