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  • Title: [Primary adenocarcinoma of the jejunum. Diagnostic challenge by a rare tumour].
    Author: Pinocy J, Klotz M, Weinzierl B, Schunck R, Weber P.
    Journal: Dtsch Med Wochenschr; 2008 May; 133(20):1064-7. PubMed ID: 18461524.
    Abstract:
    HISTORY AND ADMISSION FINDINGS: A 75 year old patient presented for many years with nausea and vomiting. The exacerbation of clinical presentation caused further investigation of the small bowel. INVESTIGATIONS: The source of nausea and vomiting had been achieved by double contrast enteroclysis in the upper jejunum and it was confirmed with a coloskop. TREATMENT AND COURSE: Histological result was a primary small bowel adenocarcinoma. The primary definitive therapy was a radical resection of the jejunal neoplastic loop, also as an important prognostic factor. Because of the tumour stadium adjuvant chemotherapy was not necessary. CONCLUSIONS: Tumours of small bowel are always a diagnostic challenge. With the help of an primary small bowel adenocarcinoma we suggest an algorithm of diagnostic possibilities adjusted to the clinical situation.
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