Mucinous Signet-Cell Adenocarcinoma of the Ileum: A Diagnostic Challenge—Case Report and Review of the Literature

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-28 DOI:10.1155/2022/5703407
T. Martins, Jalaluddin Umar, Kevin Groudan, H. Bharadwaj, D. Desilets
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引用次数: 3

Abstract

Malignancies of the small intestine are rare. Signet-ring cell carcinoma (SRCC) is one of the rarest forms of adenocarcinoma that can arise in the small intestines. We present a case of a patient who originally presented with abdominal pain and radiographic findings suggestive of ileal congestion. The ileal biopsy specimens were nonspecific, and the patient began a trial of corticosteroid treatment for suspected Crohn's disease. A repeat colonoscopy yielded biopsies that were positive for malignancy. The patient then underwent an exploratory laparotomy which led to the diagnosis of SRCC. Given their similar presentations and the extreme rarity of this unusual malignancy, it can be difficult to differentiate between new-onset Crohn's disease and SRCC. A review of the literature was conducted to provide us with an improved understanding of previously documented cases of SRCC.
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回肠黏液印细胞腺癌:诊断上的挑战-病例报告及文献回顾
小肠恶性肿瘤是罕见的。印戒细胞癌(SRCC)是发生在小肠的最罕见的腺癌之一。我们提出一个病例的病人谁最初提出腹部疼痛和放射检查结果提示回肠充血。回肠活检标本是非特异性的,患者开始接受疑似克罗恩病的皮质类固醇治疗试验。复查结肠镜检查结果为恶性肿瘤阳性。患者随后接受了探查性剖腹手术,诊断为SRCC。考虑到它们相似的表现和这种罕见的恶性肿瘤,很难区分新发克罗恩病和小细胞癌。我们对文献进行了回顾,以使我们更好地了解以前记录的SRCC病例。
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来源期刊
Case Reports in Gastrointestinal Medicine
Case Reports in Gastrointestinal Medicine GASTROENTEROLOGY & HEPATOLOGY-
自引率
0.00%
发文量
33
审稿时长
14 weeks
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