1986 Volume 28 Issue 3 Pages 642-647_1
We experienced two cases of primary carcinoma of the jejunum diagnosed by endoscopic biopsy. Case 1: A 50-year-old man, complaining of upper-abdominal fullness was admitted to our hospital. Small intestinal radiography revealed a localized irregular stricture in the jejunum about 25 cm distant from the duodenojejunal flexure (Figure 1). Endoscopic examination using PCF revealed a tumor with an irregular surface (Figure 2). Endoscopical findings strongly impressed cancer of the jejunum and the biopsy revealed adenocarcinoma (Figure 3). The gross appearance of resected material showed an irregular ulceration (Figure 4) and this lesion was histologically diagnosed as adenocarcinoma consistent with the preoperative diagnosis (Figure 5). Case 2 : A 72-year-old man, complaining of abdominal fullness was admitted to our hospital. Samll intestinal radiography revealed a localized irregular stricture in the jejunum about 25 cm distant from duodenojejunal flexure (Figure 6). Endoscopic examination using SIF-B revealed a tumor with an irregular surface (Figure 7). Endoscopical findings strongly impressed cancer of the jejunum and the biopsy revealed adenocarcinoma (Figure 8). The gross appearance of the resected material showed an irregular ulceration (Figure 9) and this lesion was histologically diagnosed as adenocarcinoma consistent with the preoperative diagnosis (Figure 10).
