Polyposis and carcinoma of the small bowel and familial colonic polyposis.
This article reviews a case of small-bowel polyposis associated with a primary jejunal adenocarcinoma in a patient who had previously undergone a subtotal colectomy for familial colonic polyposis. The patient was seen for a spontaneously resolving, subacute small-bowel obstruction secondary to metastatic mesenteric and serosal nodules. The jejunal malignancy was metastatic to the lungs in the form of lymphangitic spread, the patient subsequently dying after an open-lung biopsy in an attempt to establish a diagnosis. This particular combination of clinical features, especially the pulmonary findings, appears not to have been previously reported.
D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary / Q000648:ultrastructure; D000328:Adult; D003110:Colonic Neoplasms / Q000235:genetics*; D006801:Humans; D007417:Intestinal Polyps / Q000235:genetics*; D007580:Jejunal Neoplasms / Q000150:complications* / Q000648:ultrastructure; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male