Abstract
Primary carcinoma of the small intestine has been reported rarely because it is an uncommon disease itself and the examination is difficult. Recent advances of intestinal endoscopy make it possible to diagnose cancer of the small intestine. Our case was also diagnosed endoscopically. The patient, 66-year-old male, was admitted on July 28, 1981, with complaints of anemia for neary one year and a palpable tumor. A hard mass was palpable in the umbilical region. Laboratory data on the admission revealed severe anemia and stool positive for occult blood. Upper GI X-ray, gastroduodenoscopy and ERCP were normal. CT and echogram showed a large tumor in the middle of the abdominal cavity. With these findings jejunal carcinoma was suspected. Selective small intestinal radiogaraphy revealed a localized stricture with overhanging edges and huge ulceration in the jejunum about 20 cm distal from the duodeno-jejunal flexure. Small intestinal endoscopy with the Olympus SIF endoscopy showed cancer infiltration into the jejunal mucosa. Endoscopic finding was very similar to that of Borrmann type 3 gastric cancer. Biopsy specimens revealed tubular adenocarcinoma. The patient was operated on. The resected tumor was 16×8×10cm.
