Chapter 43: Small Intestine- Small Bowel Tumors Flashcards

1
Q

What is the differential diagnosis of benign tumors of the small
intestine?

A
  1. Leiomyoma
  2. lipoma
  3. lymphangioma
  4. fibroma
  5. adenomas
  6. hemangiomas
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2
Q

What are the signs and symptoms of small bowel tumors?

A
  • Abdominal pain
  • weight loss
  • obstruction (SBO)
  • perforation
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3
Q

What is the most common benign small bowel tumor?

A

Leiomyoma

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4
Q

What is the most common malignant small bowel tumor?

A

Adenocarcinoma

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5
Q

What is the differential diagnosis of malignant tumors of the small
intestine?

A
  1. Adenocarcinoma (50%)
  2. Carcinoid (25%)
  3. Lymphoma (20%)
  4. Sarcomas (<5%)
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6
Q

What is the workup of a small bowel tumor?

A
  1. UGI with small bowel follow-through
  2. enteroclysis
  3. CT scan
  4. enteroscopy
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7
Q

What is the treatment for malignant small bowel tumor?

A

Resection and removal of mesenteric draining lymph nodes

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8
Q

What malignancy is classically associated with metastasis to the
small bowel?

A

Melanoma

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