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  • Title: Diagnosis and categorization of small bowel neoplasms: role of computed tomography.
    Author: Laurent F, Raynaud M, Biset JM, Boisserie-Lacroix M, Grelet P, Drouillard J.
    Journal: Gastrointest Radiol; 1991; 16(2):115-9. PubMed ID: 2016021.
    Abstract:
    A retrospective study of 35 patients with small bowel neoplasms studied by computed tomography (CT) was performed. The tumor detection rate was 80%. Using the findings reported in the literature, an adequate histological diagnosis could be performed in 69% of the cases by CT. Lipomas, leiomyomas, leiomyosarcomas, and carcinoid tumors were well-recognized, but adenocarcinomas and lymphomas were often mistaken one for the other. An accurate preoperative staging was performed in 61% of the cases. CT failed to detect 75% of the invaded lymph nodes, 25% of the liver metastases, and 25% of the tumoral growth beyond the bowel wall. Despite major limitations in preoperative staging, a good detection rate and some features allowing a specific diagnosis advocate using CT along with the barium examination when clinical history suggests a small bowel tumor.
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