DIAGNOSIS OF BENIGN TUMORS OF THE SMALL INTESTINE: THE CURRENT STATE OF THE PROBLEM
DOI:
https://doi.org/10.11603/2414-4533.2024.1.14286Keywords:
tumors, gastrointestinal tract, small intestine, surgery, diagnosis, medical imaging, prognosisAbstract
The review is devoted to the problem of diagnosing benign tumors of the small intestine. The features of the clinical course of benign tumors of the small intestine and the possibilities of modern intrascopic technologies are analyzed. It is shown that clinical manifestations can be scarce and the diagnosis of benign tumors remains a difficult task. The frequency of detection of benign tumors in the work practice of the university clinic is 0.1 % of the number of applications.
Endoscopy of the stomach and colon, ultrasound examination and X-ray examination of the small intestine remain relevant as first-line measures in the diagnostic search. Enterography (and enteroclysis) with CT and MRI, as well as CT angiography and capsule endoscopy can be used as additional research methods. In recent years, systems using artificial intelligence technology have been used to analyze images obtained during endoscopy. The introduction of the latest technologies of intrascopic diagnostics allows to increase the frequency of detection of benign tumors.
References
Tsuruta K, Takedatsu H, Yoshioka S, Yoshikai M, Tomiyasu K, Morita M, Kuwaki K, Mitsuyama K, Kawaguchi T. Symptoms Contributing to the Diagnosis of Small Bowel Tumors. Digestion. 2023; 1-8. DOI: 10.1159/000531215. Epub ahead of print. PMID: 37437555. DOI: https://doi.org/10.1159/000531215
Capiro N, Flink C, Sai V, Beckett K. Gut wrenching: cases of missed gastrointestinal tumors and their mimics on computed tomography. Emerg Radiol. 2021;28(2): 389-99. DOI: 10.1007/s10140-020-01832-y. Epub. 2020 Oct 6. PMID: 33025217. DOI: https://doi.org/10.1007/s10140-020-01832-y
Neoplastic Gastrointestinal Pathology By Laura Lamps, Andrew Bellizzi, Wendy Frankel, Scott Owens and Rhonda Yantiss 2015, 408 pages
Color Atlas and Synopsis: Gastrointestinal Pathology By Shu-Yuan Xiao 2015, 464 pages
Huang J, Chan SC, Fung YC, Mak FY, Lok V, Zhang L, Lin X, Lucero-Prisno DE 3rd, Xu W, Zheng ZJ, Elcarte E, Withers M, Wong MCS; NCD Global Health Research Group, Association of Pacific Rim Universities. Incidence, Risk Factors, and Temporal Trends of Small Intestinal Cancer: A Global Analysis of Cancer Registries. Gastroenterology. 2023;165(3): 600-12. DOI: 10.1053/j.gastro.2023.05.043. Epub 2023 Jun 3. PMID: 37277079. DOI: https://doi.org/10.1053/j.gastro.2023.05.043
Worthington J, He E, Lew JB, St John J, Horn C, Grogan P, Canfell K, Feletto E. Colonoscopies in Australia – how much does the National Bowel Cancer Screening Program contribute to colonoscopy use? Public Health Res Pract. 2023;33(1): 32342216. DOI: 10.17061/phrp32232216. PMID: 36477980. DOI: https://doi.org/10.17061/phrp32342216
Rami Reddy SR, Cappell MS. A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction. Curr Gastroenterol Rep. 2017;19(6): 28. DOI: 10.1007/s11894-017-0566-9. PMID: 28439845. DOI: https://doi.org/10.1007/s11894-017-0566-9
Chetcuti Zammit S, Sidhu R. Small bowel bleeding: cause and the role of endoscopy and medical therapy. Curr Opin Gastroenterol. 2018;34(3): 165-74. DOI: 10.1097/MOG.0000000000000429. PMID: 29521682. DOI: https://doi.org/10.1097/MOG.0000000000000429
Fukuda S, Fujiwara Y, Wakasa T, Inoue K, Kitani K, Ishikawa H, Tsujie M, Yukawa M, Ohta Y, Inoue M. Small, spontaneously ruptured gastrointestinal stromal tumor in the small intestine causing hemoperitoneum: A case report. Int J Surg Case Rep. 2017;36: 64-8. DOI: 10.1016/j.ijscr.2017.05.019. Epub 2017 May 17. PMID: 28549261; PMCID: PMC5443905. DOI: https://doi.org/10.1016/j.ijscr.2017.05.019
Blazevic A, Starmans MPA, Brabander T, Dwarkasing RS, van Gils RAH, Hofland J, Franssen GJH, Feelders RA, Niessen WJ, Klein S, de Herder WW. Predicting symptomatic mesenteric mass in small intestinal neuroendocrine tumors using radiomics. Endocr Relat Cancer. 2021;28(8): 529-39. DOI: 10.1530/ERC-21-0064. PMID: 34003139. DOI: https://doi.org/10.1530/ERC-21-0064
Symons R, Daly D, Gandy R, Goldstein D, Aghmesheh M. Progress in the Treatment of Small Intestine Cancer. Curr Treat Options Oncol. 2023;24(4): 241-61. DOI: 10.1007/s11864-023-01058-3. Epub 2023 Feb 24. PMID: 36826686. DOI: https://doi.org/10.1007/s11864-023-01058-3
Reynolds I, Healy P, Mcnamara DA. Malignant tumours of the small intestine. Surgeon. 2014;12(5): 263-70. DOI: 10.1016/j.surge.2014.02.003. Epub 2014 Mar 14. PMID: 24637026. DOI: https://doi.org/10.1016/j.surge.2014.02.003
Maghbool M, Samizadeh B. Small intestinal myxoma presented with bowel obstruction, a rare case report. Int J Surg Case Rep. 2022;95: 107180. DOI: 10.1016/j.ijscr.2022.107180. Epub 2022 May 14. PMID: 35580412; PMCID: PMC9117535. DOI: https://doi.org/10.1016/j.ijscr.2022.107180
Lobato Bancalero L, Roldán de la Rúa J, Martos Rojas N, González Cano J, Arrebola Luque L, Fernández García FJ. Lower gastrointestinal bleeding as an uncommon form of presentation in a small intestine neuroendocrine tumor. Rev Esp Enferm Dig. 2023;115(6): 341-2. DOI: 10.17235/reed.2023.9583/2023. PMID: 36975156. DOI: https://doi.org/10.17235/reed.2023.9583/2023
Hines J, Rosenblat J, Duncan DR, Friedman B, Katz DS. Perforation of the mesenteric small bowel: etiologies and CT findings. Emerg Radiol. 2013;20(2): 155-61. DOI: 10.1007/s10140-012-1095-3. Epub 2012 Dec 5. PMID: 23212537. DOI: https://doi.org/10.1007/s10140-012-1095-3
Rocco A, Borriello P, Compare D, De Colibus P, Pica L, Iacono A, Nardone G. Large Brunner's gland adenoma: case report and literature review. World J Gastroenterol. 2006;12(12): 1966-8. DOI: 10.3748/wjg.v12.i12.1966. PMID: 16610009; PMCID: PMC4087528. DOI: https://doi.org/10.3748/wjg.v12.i12.1966
Fu ZY, Kmeid M, Aldyab M, Lagana SM, Lee H. Composite intestinal adenoma-microcarcinoid: An update and literature review. World J Gastrointest Endosc. 2021;13(12): 593-606. DOI: 10.4253/wjge.v13.i12.593. PMID: 35070021; PMCID: PMC8716980. DOI: https://doi.org/10.4253/wjge.v13.i12.593
Ochiai Y, Kato M, Kiguchi Y, Akimoto T, Nakayama A, Sasaki M, Fujimoto A, Maehata T, Goto O, Yahagi N. Current Status and Challenges of Endoscopic Treatments for Duodenal Tumors. Digestion. 2019;99(1): 21-6. DOI: 10.1159/000494408. Epub 2018 Dec 14. PMID: 30554227. DOI: https://doi.org/10.1159/000494408
Phillips S, Rowcroft A, Holt B, Banting S. Duodenal intussusception secondary to Brunner's gland adenoma. ANZ J Surg. 2023;93(3): 757-9. DOI: 10.1111/ans.17993. Epub 2022 Aug 19. PMID: 35984224. DOI: https://doi.org/10.1111/ans.17993
Hughes J, Lee A, Fong J, Vazquez M, Wright D, Bui A. Leiomyoma: a rare cause of small bowel obstruction. ANZ J Surg. 2020;90(6): 1165-8. DOI: 10.1111/ans.15698. Epub 2020 Jan 17. PMID: 31951072. DOI: https://doi.org/10.1111/ans.15698
Matalqah H, Yaseen R, Al-Hajjaj M, Matalkeh L, Matalkeh M, Al Taani B. Leiomyoma as a rare cause of small bowel obstruction: A case report. Int J Surg Case Rep. 2023;109: 108473. DOI: 10.1016/j.ijscr.2023.108473. Epub 2023 Jul 7. PMID: 37441980; PMCID: PMC10362285. DOI: https://doi.org/10.1016/j.ijscr.2023.108473
Han JW, Hong SN, Jang HJ, Jeon SR, Cha JM, Park SJ, Byeon JS, Ko BM, Kim ER, Choi H, Chang DK. Clinical Efficacy of Various Diagnostic Tests for Small Bowel Tumors and Clinical Features of Tumors Missed by Capsule Endoscopy. Gastroenterol. Res. Pract. 2015:623208. DOI: 10.1155/2015/623208. PMID: 26229529; PMCID: PMC4503554. DOI: https://doi.org/10.1155/2015/623208
Masselli G, Casciani E, Polettini E, Laghi F, Gualdi G. Magnetic resonance imaging of small bowel neoplasms. Cancer Imaging. 2013;13(1): 92-9. DOI: 10.1102/1470-7330.2013.0012. PMID: 23524074; PMCID: PMC3607252.
Lee JS, Park SH, Choi SJ. Radiologic Review of Small Bowel Malignancies and Their Mimicking Lesions. J Korean Soc Radiol. 2023;84(1): 110-26. DOI: 10.3348/jksr.2021.0168. Epub 2022 Nov 15. PMID: 36818705; PMCID: PMC9935952. DOI: https://doi.org/10.3348/jksr.2021.0168
Nickerson TP, Aho JM, Bingener J. Single-incision laparoscopic resection of small bowel tumours: Making it easier for patient and surgeon. J Minim Access Surg. 2016;12(3): 235-9. DOI: 10.4103/0972-9941.158958. PMID: 27279394; PMCID: PMC4916749. DOI: https://doi.org/10.4103/0972-9941.158958
Pasquer A, Walter T, Milot L, Hervieu V, Poncet G. Principles of Surgical Management of Small Intestinal NET. Cancers (Basel). 2021;13(21): 5473. DOI: 10.3390/cancers13215473. PMID: 34771639; PMCID: PMC8582489. DOI: https://doi.org/10.3390/cancers13215473
Teufel A, Meindl-Beinker NM, Hösel P, Gerken M, Roig A, Ebert MP, Herr W, Scheiter A, Pauer A, Schlitt HJ, Klinkhammer-Schalke M. Characteristics and outcome of patients with small bowel adenocarcinoma (SBA). J Cancer Res Clin Oncol. 2023;149(8): 4579-90. DOI: 10.1007/s00432-022-04344-z. Epub 2022 Sep 26. PMID: 36163558; PMCID: PMC10349691. DOI: https://doi.org/10.1007/s00432-022-04344-z
Tominaga K, Kamimura K, Yokoyama J, Terai S. Usefulness of Capsule Endoscopy and Double-balloon Enteroscopy for the Diagnosis of Multiple Carcinoid Tumors in the Small Intestine: Case Reports and a Literature Review. Intern Med. 2019;58(5): 655-9. DOI: 10.2169/internalmedicine.1700-18. Epub 2018 Oct 17. PMID: 30333421; PMCID: PMC6443552. DOI: https://doi.org/10.2169/internalmedicine.1700-18
Milione M, Parente P, Grillo F, Zamboni G, Mastracci L, Capella C, Fassan M, Vanoli A. Neuroendocrine neoplasms of the duodenum, ampullary region, jejunum and ileum. Pathologica. 2021;113(1): 12-8. DOI: 10.32074/1591-951X-228. PMID: 33686306; PMCID: PMC8138699. DOI: https://doi.org/10.32074/1591-951X-228
Waterman M, Eliakim R. Capsule enteroscopy of the small intestine. Abdom Imaging. 2009;34(4): 452-8. DOI: 10.1007/s00261-008-9431-5. PMID: 18575929. DOI: https://doi.org/10.1007/s00261-008-9431-5
Rukundo O. Challenges of 3D Surface Reconstruction in Capsule Endoscopy. J Clin Med. 2023;12(15): 4955. DOI: 10.3390/jcm12154955. PM333ID: 37568357; PMCID: PMC10420189. DOI: https://doi.org/10.3390/jcm12154955
Abadir AP, Ali MF, Karnes W, Samarasena JB. Artificial Intelligence in Gastrointestinal Endoscopy. Clin Endosc. 2020;53(2): 132-41. DOI: 10.5946/ce.2020.038. Epub 2020 Mar 30. PMID: 32252506; PMCID: PMC7137570. DOI: https://doi.org/10.5946/ce.2020.038
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