A case of primary jejunal cancer preoperatively diagnosed with biopsy through small intestinal videoscopy

Abstract

A 73-year-old and female patient sometimes complaining of nausea and vomiting since June 2002 and 14kg weight reduction for three months. Although the gastroduodenal endoscopy and colonoscopy were performed, the disease was not found.
Also after that, clinical menifestation has not been improved.
So she was admitted our hospital because of detatail examination. Abdominal magnetic resonnance imaging (MRI) showed the solid tumor expanded to the intestinal lumen with dilatation of upper jejunum. Small intestine radiography showed tumor in the jejunum and complete stenosis. Definitive diagnosis was obtained preoperavility with biopsy through the small intestine videoscopy. The histological examination on biopsy specimen revealed well to moderate differentiated adenocarcinoma. Jejunal resection with lymph node dissection was performed in October 2002. Histopathological diagnosis of the lesion was type I appearance and well to moderate differentiated adenocarcinoma with se invasion.