title: Preoperative diagnostic value of single-balloon enteroscopy for successful surgical treatment of three independent-origin gastrointestinal malignant tumors: report of a case.
abstract: A 67-year-old woman with bloody stools underwent esophagogastroduodenoscopy and colonoscopy, which revealed the presence of a submucosal tumor in the stomach and an adenocarcinoma in the ascending colon. Preoperative screening disclosed an additional 10-cm tumor in the abdomen between the gastric and colonic lesions. Single-balloon enteroscopy was therefore performed. A nonstenotic, circumferential, bleeding ulcerative lesion was found in the jejunum, and the biopsy revealed malignant lymphoma (ML). A partial resection of the small intestine, ascending colectomy, and wedge resection of the stomach were performed, then systemic chemotherapy for ML was started 2 weeks after surgery. Triple gastrointestinal malignant tumors with different histologies are extremely rare, and have not been previously reported. Single-balloon enteroscopy in this case led to a definite diagnosis by biopsy, thus allowing the patient to receive chemotherapy as soon as possible after surgery.
authors: Department of Surgery, Nippon Steel Yawata Memorial Hospital, 1-1-1 Harunomachi, Yahatahigashi-ku, Kitakyushu, 805-8508, Japan.
authors: Shohei
authors: S
authors: Yoshiya
authors: Keishi
authors: K
authors: Sugimachi
authors: Shigeo
authors: S
authors: Nakamura
authors: Hiroki
authors: H
authors: Yaita
authors: Yuta
authors: Y
authors: Fuyuno
authors: Dai
authors: D
authors: Kitagawa
authors: Tatsuro
authors: T
authors: Shimokama
authors: Hidefumi
authors: H
authors: Higashi
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000368:Aged; D003082:Colectomy; D003113:Colonoscopy; D058582:Double-Balloon Enteroscopy / Q000295:instrumentation*; D016145:Endoscopy, Digestive System; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007421:Intestine, Small / Q000601:surgery; D008545:Melanoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011300:Preoperative Care; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery