In recent years, there have been more and more
reports about
cystadenoma.
Cystadenoma can occur in many parts of the body, and
cystadenoma in different parts may show different clinical symptoms, however, some
patients with
cystadenoma have no symptoms. The vast majority of
cystadenomas are benign lesions, but a small number of
cystadenomas can be malignant. For example, a small number of ovarian
cystadenomas and pancreatic
cystadenomas may be malignant. This study reported a
patient with small intestinal
cystadenoma diagnosed by
pathology. The
patient's
physical examination revealed a lesion in the left upper
abdomen. He had only abdominal distension and no other discomfort. His
laboratory examination results were basically normal, i.e.
blood routine,
urine routine, stool routine,
liver function,
kidney function, myocardial
enzyme,
tumor marker, etc. The
patient underwent sectional
small intestine resection and the pathological sample was analyzed. The histological findings of the resected intestinal sample were consistent with
cystadenoma. Computed
tomography scan of the
abdomen was performed 4 months after the
surgery. No
recurrence of the
tumor was found. The
patient recovered in good condition. By consulting the
literature, I found very few
reports of small intestinal
cystadenoma before, it was very rare. This article described the clinical manifestation,
diagnosis and
differential diagnosis,
treatment and
prognosis of a case of small intestinal
cystadenoma, it suggested that
cystadenoma can occur in the
small intestine, other than the
ovary,
pancreas,
liver,
lung,
thyroid,
prostate,
seminal vesicle,
skin, etc. The
cystadenoma in
small intestine is easy to be mistaken with other
tumors, such as
small intestine stromal
tumor,
small intestine adenocarcinoma,
small intestine lipoma,
small intestine hemangiomas, etc., and it is difficult to fully confirm through imaging examinations, such as computed
tomography and
magnetic resonance imaging.
Laparotomy and histopathological examination are necessary before definitive
diagnosis. This
disease can be treated by small bowel resection at the affected region and good
prognosis can be achieved.