Small bowel adenocarcinoma

Case contributed by Elena Batura
Diagnosis certain

Presentation

Admitted to the department with anaemia, general weakness and fatigue.

Patient Data

Age: 60 years
Gender: Male
ct

Ill-defined lesion at the duodenojejunal junction with irregular and heterogeneous wall thickening, associated irregular luminal narrowing, and a single enlarged lymph node measuring 11 mm.

The mesentery in the region of the root is locally compacted, with a few non-enlarged lymph nodes. Hepatic cyst in segment 3.

Case Discussion

Histology: adenocarcinoma (grade 3), grown through all the layers of the bowel wall; lymph node metastasis.

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