A case of successful treatment of a neuroendocrine tumor of the small intestine complicated by partial intestinal obstruction

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The incidence of neoplasms of the small intestine does not exceed 3% in the structure of all tumors of the gastrointestinal tract. Among them, the frequency of neuroendocrine tumors is about 30%. Due to the absence of pathognomonic symptoms, such tumors are usually detected at the stage of surgical complications such as intestinal obstruction or intestinal necrosis. In such a situation, the oncological process is already either locally widespread or generalized. Therefore, timely diagnosis of tumors should be based not only on the complaints and anamnesis, allowing to suspect the development of complications, but also on the use of modern imaging methods.

A clinical case demonstrating the difficulties of timely diagnosis of a neuroendocrine tumor of the small intestine is presented.

作者简介

Alexey Kurkov

North-Western State Medical University named after I.I. Mechnikov

编辑信件的主要联系方式.
Email: dok.kurkov@gmail.com
ORCID iD: 0000-0002-2128-8651
SPIN 代码: 6396-4386

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Badri Sigua

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913
SPIN 代码: 5571-8893

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Saint Petersburg

Elguja Lataria

North-Western State Medical University named after I.I. Mechnikov

Email: Elguja.Lataria@szgmu.ru
ORCID iD: 0000-0002-9569-8485
SPIN 代码: 7376-9672

MD, Cand. Sci. (Med.), Assistant Professor

俄罗斯联邦, Saint Petersburg

Dmitry Gurzhiy

North-Western State Medical University named after I.I. Mechnikov

Email: gurzhiydv@ro.ru
ORCID iD: 0000-0002-4005-0403
SPIN 代码: 7344-3941

MD, Cand. Sci. (Med.), Assistant Professor

俄罗斯联邦, Saint Petersburg

Victoria Kvarku

North-Western State Medical University named after I.I. Mechnikov

Email: viktoriya.kvarku@szgmu.ru
俄罗斯联邦, Saint Petersburg

Anna Belyaeva

North-Western State Medical University named after I.I. Mechnikov

Email: Anna.Belyaeva@szgmu.ru
ORCID iD: 0000-0002-6299-2856
SPIN 代码: 8205-6112

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Sergey Vinnichuk

North-Western State Medical University named after I.I. Mechnikov

Email: Sergei.Vinnichuk@szgmu.ru
ORCID iD: 0000-0002-9590-6678
SPIN 代码: 6448-9110

MD, Cand. Sci. (Med.), Assistant Professor

俄罗斯联邦, Saint Petersburg

Abdul Abdulov

North-Western State Medical University named after I.I. Mechnikov

Email: Abdulov_97@list.ru
ORCID iD: 0000-0001-7578-8179
俄罗斯联邦, Saint Petersburg

Viacheslav Zemlianoi

North-Western State Medical University named after I.I. Mechnikov

Email: zeml.spb@mail.ru
ORCID iD: 0000-0003-2329-0023

MD, Dr. Sci. (Med.), Professor, Honored Doctor of the Russian Federation

俄罗斯联邦, Saint Petersburg

参考

  1. Deshina EG, Macnev AO, SHlykov OA. Analysis of rare cases of surgical treatment of patients with tumors of the small intestine. Meditsina: aktual'nye voprosy i tendentsii razvitiya. 2016;(7):5. (In Russ.)
  2. de Franchis R, Rondonotti E, Abbiati C, et al. Small bowel malignancy. Gastrointest Endosc Clin N A. 2004;14(1):139–148. doi: 10.1016/j.giec.2003.10.006
  3. Rossini FP, Risio M, Pennazio M. Small bowel tumors and polyposis syndromes. Gastrointest Endosc Clin N Am. 1999;9(1):93–114. doi: 10.1016/S1052-5157(18)30222-8
  4. Mainstrenko NA, Galkin VN. Diagnostika i khirurgicheskoe lechenie neepitelial’nykh opukholei tonkoi kishki. Grekov's Bulletin of Surgery. 2003;(3):41–45. (In Russ.)
  5. Sharafutdinov IM, Minniahmetov MF, Ionin VP. Surgical treatment of acute intestinal obstaclation conditioned by a neuroendokrin tumor of the thin intestine, on the background of the patient infection of a new coronovirus infection COVID-19. The scientific and practical journal of medicine. 2020;(2(24)):37–45. (In Russ.). doi: 10.25017/2306-1367-2020-24-2-37-45
  6. Lysanyuk MV, Majstrenko NA, Romashchenko PN. The diffic.ulties of diagnosis and choice of treatment tactics of neuroendocrine tumors of the small intestine. Grekov’s bulletin of surgery. 2018;177(4):76–80. (In Russ.). doi: 10.24884/0042-4625-2018-177-4-76-80
  7. Ovnatanyan KT, Tarnopol’skii AM. Opukholi tonkoi kishki i ee bryzheiki. Kiev; 1966. 175 p. (In Russ.)
  8. Volostnikov EV, Murav’ev AV, Brusnev LA. Tumors of the small intestine. Koloproktologiya. 2019;18(S3(69)):60. (In Russ.)

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2. Fig. 1. The ultrasound picture: a stenosing tumor of the small intestine

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3. Fig. 2. The intraoperative picture: a stenosing tumor of the small intestine

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4. Fig. 3. The microscopic picture of the tumor of the the small intestine (hematoxylin-eosin, zoom ×100)

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5. Fig. 4. The microscopic picture of invasion of the small intestine tumor into the muscle layer (hematoxylin-eosin, zoom ×100)

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版权所有 © Kurkov A.A., Sigua B.V., Lataria E.L., Gurzhiy D.V., Kvarku V.E., Belyaeva A.V., Vinnichuk S.A., Abdulov A.R., Zemlianoi V.P., 2022

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