Most common presentation of Benign Small bowel tumours include
Correct Answer: Incidental finding on laparotomy
Description: .Malignant tumours of small bowel * Adenocarcinoma is commonest - 40%. Order of occurrence - duodenum, jejunum and ileum * GIST is new entity comprising smooth muscle tumors also * Carcinoid and lymphoma has got better prognosis * Adenocarcinoma and GIST has got poor prognosis * Presentations are pain, diarrhoea, weight loss, anaemia, melaena, palpable mass, intestinal obstruction and metastatic features * Bleeding and perforation are common in lymphoma and sarcoman * Enteroclysis/capsule endoscopy/CT scan/histochemistry are needed to diagnose * Surgery is the main therapy * Imatinib is used in GIST with ourable results. ref:SRB&;s manual of surgery ,ed 3,pg no 812
Category:
Surgery
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