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Jejunal Carcinoma Diagnosed by Small Intestinal Fiberscope K. Shirakawa 1 , H. Maruoka 1 , M. Kawaguchi 1 , T. Saito 1 , S. Ashizawa 1 , S. Tsunakawa 2 , K. Ikejiri 2 , T. Muraoka 3 1The Fourth Department of Internal Medicine, Tokyo Medical College 2Department of Internal Medicine, Ota Hospital 3Department of Surgery, Ota Hospital pp.1057-1059
Published Date 1981/10/25
DOI https://doi.org/10.11477/mf.1403108208
  • Abstract
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 The patient was a 80 years old woman who presented symptoms of intestinal obstruction such as abdominal pain and vomiting. A follow-up fluoroscopic examination after upper G-I series study revealed bilateral filling defects showing an apple core sign in the proximal jejunum. Endoscopy revealed not only the lesion protruding into the lumen caused by narrowing, but also absent Kerckring's folds, reddish discoloration, irregular and uneven mucosa. Biopsy proved to be adenocarcinoma. On pathological study, the removed specimen, 4.5×1.5cm, showed ulceration as a configuration of Borrmann's type 2 carcinoma. Histological study showed papillotubular adenocarcinoma with subserous invasion.

 Small intestinal fiberscopic examination is a valuable method for diagnosing small intestinal tumor. We expect that it will have wider use in future.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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