RESUMO
A case of subserosal gastric neurilemmoma is hereby presented. This reported case is unique in its clinical presentation including the appearance of acute abdomen and fever subsequent to unremarkable and uneventful upper gastrointestinal endoscopy. The tendency of neurilemmoma to cause mucosal ulceration with fistula formation probably led to this clinical presentation. The role of computed tomography in establishing diagnosis of exogastric tumor is emphasized.
Assuntos
Abdome Agudo/etiologia , Neurilemoma/diagnóstico por imagem , Neoplasias Gástricas/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Neurilemoma/complicações , Neurilemoma/patologia , Neoplasias Gástricas/complicações , Neoplasias Gástricas/patologiaRESUMO
A case of collagenous colitis in a patient with ileal carcinoid is described. Considerable fibrofatty thickening of the small bowel mesentery was present. The association of these findings appears to be unprecedented. Further observations are required to ascertain that collagenous colitis is one of the protean manifestations of carcinoid tumor.
Assuntos
Tumor Carcinoide/complicações , Colite/complicações , Doenças do Colágeno/complicações , Neoplasias do Íleo/complicações , Neoplasias Primárias Múltiplas , Tumor Carcinoide/patologia , Tumor Carcinoide/cirurgia , Colite/epidemiologia , Colite/patologia , Colite/cirurgia , Doenças do Colágeno/epidemiologia , Doenças do Colágeno/patologia , Doenças do Colágeno/cirurgia , Humanos , Neoplasias do Íleo/patologia , Neoplasias do Íleo/cirurgia , Masculino , Pessoa de Meia-IdadeRESUMO
Of 82 patients who had obstructing cancer of the left colon, 22% had incurable disease and 36.5% had advanced cancer at presentation. All methods of treatment carried a high morbidity and mortality. The mean survival rate with palliative operations was 8.7 months. Twenty-four poor-risk patients treated with staged operations had a 25% operative mortality and a 20.8% five-year survival rate. Forty primary resections, with or without anastomosis, were followed by a 27.5% operative mortality and by more than a twofold five-year survival rate (47.5%) compared with that of staged resection. These results suggest that delay of cure may reduce the late survival rate and justify primary resection as the operation of choice in selected good-risk patients.
