Small intestine cancer other imaging findings: Difference between revisions
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==Other Imaging Findings== | ==Other Imaging Findings== | ||
'''[[Ultrasound]]:''' | '''[[Ultrasound]]:''' | ||
*Ultrasonography can diagnose and assess vascularity of larger lesions but the smaller tumors (<2 cm) may not be detected. | *Ultrasonography can diagnose and assess vascularity of larger lesions but the smaller tumors (<2 cm) may not be detected. | ||
*Ultrasonography can diagnose and assess vascularity of larger lesions but the smaller tumours (<2 cm) may not be detected. | *Ultrasonography can diagnose and assess vascularity of larger lesions but the smaller tumours (<2 cm) may not be detected. | ||
'''[[Enteroscopy]]:''' | '''[[Enteroscopy]]:''' | ||
*X-ray, CT, MRI, and PET-CT are the foremost examination modalities for small intestinal tumors. However, with the advancement of radiology, a series of new diagnostic techniques have been developed, such as electronic enteroscopy, multi-slice spiral CT enteroclysis and capsule endoscopy. <ref name="pmid28105627">{{cite journal |vauthors=Zhao Z, Guan X, Chen Y, Wang X |title=[Progression of diagnosis and treatment in primary malignant small bowel tumor] |language=Chinese |journal=Zhonghua Wei Chang Wai Ke Za Zhi |volume=20 |issue=1 |pages=117–120 |date=January 2017 |pmid=28105627 |doi= |url=}}</ref> | *X-ray, CT, MRI, and PET-CT are the foremost examination modalities for small intestinal tumors. However, with the advancement of radiology, a series of new diagnostic techniques have been developed, such as electronic enteroscopy, multi-slice spiral CT enteroclysis and capsule endoscopy. <ref name="pmid28105627">{{cite journal |vauthors=Zhao Z, Guan X, Chen Y, Wang X |title=[Progression of diagnosis and treatment in primary malignant small bowel tumor] |language=Chinese |journal=Zhonghua Wei Chang Wai Ke Za Zhi |volume=20 |issue=1 |pages=117–120 |date=January 2017 |pmid=28105627 |doi= |url=}}</ref> | ||
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*Carcinoid tumors present with submucosal nodule or bulge, which can be associated with an ulcer. | *Carcinoid tumors present with submucosal nodule or bulge, which can be associated with an ulcer. | ||
*Lymphomas present with variable degrees of nodular mucosa and occasional ulcerations and strictures <ref name="pmid28435408">{{cite journal |vauthors=Bartel MJ, Stark ME, Lukens FJ |title=Clinical Review of Small-Bowel Endoscopic Imaging |journal=Gastroenterol Hepatol (N Y) |volume=10 |issue=11 |pages=718–726 |date=November 2014 |pmid=28435408 |pmc=5395713 |doi= |url=}}</ref> | *Lymphomas present with variable degrees of nodular mucosa and occasional ulcerations and strictures <ref name="pmid28435408">{{cite journal |vauthors=Bartel MJ, Stark ME, Lukens FJ |title=Clinical Review of Small-Bowel Endoscopic Imaging |journal=Gastroenterol Hepatol (N Y) |volume=10 |issue=11 |pages=718–726 |date=November 2014 |pmid=28435408 |pmc=5395713 |doi= |url=}}</ref> | ||
'''[[Capsule endoscopy]]:''' | '''[[Capsule endoscopy]]:''' | ||
*In this procedure, the patient is not detected with an actual endoscope but with a capsule (about the size of a large vitamin pill) which contains a light source and a very small camera. | *In this procedure, the patient is not detected with an actual endoscope but with a capsule (about the size of a large vitamin pill) which contains a light source and a very small camera. | ||
*After swallowed, the capsule goes through the small intestine for a period of 8 hours. It takes thousands of pictures which can be downloaded onto a computer for the doctor to analyze. | *After swallowed, the capsule goes through the small intestine for a period of 8 hours. It takes thousands of pictures which can be downloaded onto a computer for the doctor to analyze. | ||
'''[[Double balloon enteroscopy | |||
'''[[Double balloon enteroscopy]]:''' | |||
*This is a newer way of looking at the small intestine. At first the patient need to anesthesia. | *This is a newer way of looking at the small intestine. At first the patient need to anesthesia. | ||
This technology makes the doctor to see the intestine a foot at a time and even take a biopsy if something abnormal. | This technology makes the doctor to see the intestine a foot at a time and even take a biopsy if something abnormal. | ||
'''[[Barium x-rays]]:''' | '''[[Barium x-rays]]:''' | ||
*This is an x-ray test that a person is given a medication that will temporarily slow bowel movement, so structures can be more easily seen on the x-rays. | *This is an x-ray test that a person is given a medication that will temporarily slow bowel movement, so structures can be more easily seen on the x-rays. | ||
*For this test, the patient drinks a millkshake-like substance called barium. | *For this test, the patient drinks a millkshake-like substance called barium. | ||
*X-ray method called fluroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions. It includes upper GI series, enteroclysis and a barium enema. | *X-ray method called fluroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions. | ||
*It includes upper GI series, enteroclysis and a barium enema. | |||
==References== | ==References== |
Revision as of 20:26, 3 January 2019
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Small intestine cancer other imaging findings On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
Other diagnostic studies for small intestine cancer include ultrasound, capsule endoscopy, double balloon enteroscopy, and barium x-rays.
Other Imaging Findings
- Ultrasonography can diagnose and assess vascularity of larger lesions but the smaller tumors (<2 cm) may not be detected.
- Ultrasonography can diagnose and assess vascularity of larger lesions but the smaller tumours (<2 cm) may not be detected.
- X-ray, CT, MRI, and PET-CT are the foremost examination modalities for small intestinal tumors. However, with the advancement of radiology, a series of new diagnostic techniques have been developed, such as electronic enteroscopy, multi-slice spiral CT enteroclysis and capsule endoscopy. [1]
- On enteroscopy, gastrointestinal stromal tumor present as a nodule with enlarged mucosal folds or as a mass with abnormal surface vessels.
- Carcinoid tumors present with submucosal nodule or bulge, which can be associated with an ulcer.
- Lymphomas present with variable degrees of nodular mucosa and occasional ulcerations and strictures [2]
- In this procedure, the patient is not detected with an actual endoscope but with a capsule (about the size of a large vitamin pill) which contains a light source and a very small camera.
- After swallowed, the capsule goes through the small intestine for a period of 8 hours. It takes thousands of pictures which can be downloaded onto a computer for the doctor to analyze.
- This is a newer way of looking at the small intestine. At first the patient need to anesthesia.
This technology makes the doctor to see the intestine a foot at a time and even take a biopsy if something abnormal.
- This is an x-ray test that a person is given a medication that will temporarily slow bowel movement, so structures can be more easily seen on the x-rays.
- For this test, the patient drinks a millkshake-like substance called barium.
- X-ray method called fluroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions.
- It includes upper GI series, enteroclysis and a barium enema.
References
- ↑ Zhao Z, Guan X, Chen Y, Wang X (January 2017). "[Progression of diagnosis and treatment in primary malignant small bowel tumor]". Zhonghua Wei Chang Wai Ke Za Zhi (in Chinese). 20 (1): 117–120. PMID 28105627.
- ↑ Bartel MJ, Stark ME, Lukens FJ (November 2014). "Clinical Review of Small-Bowel Endoscopic Imaging". Gastroenterol Hepatol (N Y). 10 (11): 718–726. PMC 5395713. PMID 28435408.