Nodule‐aggregating lesion of the ileum: Report of a case and a review of the literature

Sakamoto, Norikazu; Fujisawa, Takashi; Maeda, Mitsuo; Sakaguchi, Kazuhiko; Onishi, Yutaka; Kuroda, S.; Toyoda, Masanori; Teranishi, Tetsuya; Miyamoto, Katsufumi; Kawaraya, Nobuaki; Kusumoto, Chosei; Nishigami, Takashi

doi:10.1046/j.1443-1661.2001.00132.x

Cited by 3 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found 16 cases (including the present case) of early cancer of the ileum in the Japanese literature (with English title provided) (Table 1). 16–28 In other countries, only two cases, which were both complicated by Crohn's disease, were reported 29,30 . The average age of the 16 patients reported to have early ileal cancer in Japan was 66 years (range, 51–83 years), and the male‐to‐female ratio was 11 : 5.…”

Section: Discussionmentioning

confidence: 99%

A Case of preoperatively diagnosed mucosal carcinoma of the terminal ileum successfully treated by laparoscopy‐assisted surgery

Ishikawa¹,

Arita²,

Shimoda³

et al. 2003

Digestive Endoscopy

View full text Add to dashboard Cite

We report herein a case of primary early ileal adenocarcinoma diagnosed definitively by colonoscopy before surgery and treated by laparoscopy‐assisted ileocecal resection. A 66‐year‐old man visited our hospital because of fecal occult blood. Colonoscopy revealed a relatively clearly demarcated, flat elevation in the terminal ileum; it was slightly red, surrounding a hemorrhagic spot, and had a small depression at its center. The lesion was diagnosed on biopsy as a well‐differentiated adenocarcinoma. Laparoscopy‐assisted ileocecal resection was performed. Macroscopically, the resected specimen appeared as a partially elevated, partially depressed, reddish lesion on Kerckring's fold. It was 1.5 × 1.0 cm and located 3.5 cm from the ileocecal valve. Microscopically, the tumor was diagnosed as a type IIa + IIc well‐differentiated adenocarcinoma; it was confined to the mucosa, and lymph node metastasis was not found. The patient's postoperative course was uneventful, and he is now alive, well and showing no evidence of recurrence 1 year after surgery. Early detection of ileal cancer depends on careful colonoscopic observation of the terminal ileum, where small bowel cancer usually locates, even during routine examination. To our knowledge, this is the first report of laparoscopic surgery for preoperatively diagnosed early ileal carcinoma.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of preoperatively diagnosed mucosal carcinoma of the terminal ileum successfully treated by laparoscopy‐assisted surgery

Ishikawa¹,

Arita²,

Shimoda³

et al. 2003

Digestive Endoscopy

View full text Add to dashboard Cite

show abstract

“…One of the subtypes of the non‐granular type laterally spreading tumor (LST), 2,3 is a flat lesion of almost the same color as a normal colonic mucosa. This makes it easily missed when detecting the lesion endoscopically.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Color‐emphasis System as an Endoscopic Diagnostic Method: Is the Adopted Type Hemoglobin Index Color Emphasis Useful for the Diagnosis of Superficial Type Colon Tumors?

Tamura

Ookawauchi

Tadokoro

et al. 2002

Digestive Endoscopy

View full text Add to dashboard Cite

The difficulty in an endoscopic diagnosis of colorectal tumors depends mainly on their gross configuration. As the superficial flat type and depressed type tumors are usually detected endoscopically by a faint redness on their surface, we evaluated the usefulness of an adopted type hemoglobin index color emphasis system in the lesion of a non‐granular (NG) type laterally spreading tumor (LST). The NG‐type LST was composed of only a flat surface without any nodules. The frequency of Tis was 20.2% and that of T1/T2 was 15.7% in the lesion of the NG‐type LST. Results showed that the adopted type hemoglobin index color emphasis system can emphasize the color level, as the redness and whiteness intensified in this system. The degree of redness and whiteness depended on the emphasis level, and the clarity of colors became clearer in level 5 than level 3 in a lesion of the NG‐type LST. This system may thus contribute to the endoscopic diagnosis of flat and depressed type colorectal lesions.

show abstract

Case Presentations: Flat/Small Protrusions

Maehata

Hirano

Yanai

et al. 2013

Endoscopy in the Diagnosis of Small Intestine Diseases

View full text Add to dashboard Cite

Nodule‐aggregating lesion of the ileum: Report of a case and a review of the literature

Cited by 3 publications

References 14 publications

A Case of preoperatively diagnosed mucosal carcinoma of the terminal ileum successfully treated by laparoscopy‐assisted surgery

A Case of preoperatively diagnosed mucosal carcinoma of the terminal ileum successfully treated by laparoscopy‐assisted surgery

Evaluation of the Color‐emphasis System as an Endoscopic Diagnostic Method: Is the Adopted Type Hemoglobin Index Color Emphasis Useful for the Diagnosis of Superficial Type Colon Tumors?

Case Presentations: Flat/Small Protrusions

Contact Info

Product

Resources

About