PDF(Pubmed)
Abstract：
UNASSIGNED: Neuroendocrine tumors (NETs) of the small bowel are rare but clinically significant due to their challenging diagnostic pathways and potential for insidious progression. Early identification is critical for effective management and improved prognosis in these cases.
METHODS: Here, we present a case of a 75-year-old patient with no significant medical history who presented acutely with diffuse abdominal pain, vomiting, and signs of bowel obstruction. Diagnostic workup, including CT imaging, revealed a distal ileal neuroendocrine mass with mesenteric lymphadenopathy, necessitating urgent surgical intervention.
CONCLUSIONS: This case underscores the diagnostic complexities and therapeutic challenges associated with small bowel NETs. Surgical resection with meticulous lymph node dissection remains the cornerstone of treatment, aimed at achieving complete tumor excision and optimal disease control. The role of imaging modalities and biochemical markers in guiding clinical decisions and postoperative management strategies is discussed considering the patient\'s clinical course.
CONCLUSIONS: Timely recognition and intervention are crucial in the management of small bowel NETs, given their potential for late presentation and nonspecific symptoms. Despite diagnostic and procedural challenges highlighted in this case, early surgical intervention and comprehensive follow-up are essential for achieving favorable outcomes and minimizing recurrence risks in patients with small bowel NETs.
METHODS: Here, we present a case of a 75-year-old patient with no significant medical history who presented acutely with diffuse abdominal pain, vomiting, and signs of bowel obstruction. Diagnostic workup, including CT imaging, revealed a distal ileal neuroendocrine mass with mesenteric lymphadenopathy, necessitating urgent surgical intervention.
CONCLUSIONS: This case underscores the diagnostic complexities and therapeutic challenges associated with small bowel NETs. Surgical resection with meticulous lymph node dissection remains the cornerstone of treatment, aimed at achieving complete tumor excision and optimal disease control. The role of imaging modalities and biochemical markers in guiding clinical decisions and postoperative management strategies is discussed considering the patient\'s clinical course.
CONCLUSIONS: Timely recognition and intervention are crucial in the management of small bowel NETs, given their potential for late presentation and nonspecific symptoms. Despite diagnostic and procedural challenges highlighted in this case, early surgical intervention and comprehensive follow-up are essential for achieving favorable outcomes and minimizing recurrence risks in patients with small bowel NETs.
摘要：
小肠神经内分泌肿瘤（NETs）是罕见的，但由于其具有挑战性的诊断途径和潜在的潜在进展，具有临床意义。在这些情况下，早期识别对于有效治疗和改善预后至关重要。
方法：这里，我们介绍了一例没有明显病史的75岁患者，其急性表现为弥漫性腹痛，呕吐,和肠梗阻的迹象.诊断检查,包括CT成像,显示回肠远端神经内分泌肿块伴肠系膜淋巴结肿大，需要紧急手术干预。
结论：该病例强调了与小肠NET相关的诊断复杂性和治疗挑战。手术切除和细致的淋巴结清扫仍然是治疗的基石，旨在实现完整的肿瘤切除和最佳的疾病控制。考虑到患者的临床过程，讨论了成像方式和生化标志物在指导临床决策和术后管理策略中的作用。
结论：及时识别和干预在小肠NET的管理中至关重要，考虑到他们可能出现迟发症状和非特异性症状。尽管在这种情况下强调了诊断和程序上的挑战，对于小肠NETs患者,早期手术干预和全面随访是取得良好结局和将复发风险降至最低的关键.
方法：这里，我们介绍了一例没有明显病史的75岁患者，其急性表现为弥漫性腹痛，呕吐,和肠梗阻的迹象.诊断检查,包括CT成像,显示回肠远端神经内分泌肿块伴肠系膜淋巴结肿大，需要紧急手术干预。
结论：该病例强调了与小肠NET相关的诊断复杂性和治疗挑战。手术切除和细致的淋巴结清扫仍然是治疗的基石，旨在实现完整的肿瘤切除和最佳的疾病控制。考虑到患者的临床过程，讨论了成像方式和生化标志物在指导临床决策和术后管理策略中的作用。
结论：及时识别和干预在小肠NET的管理中至关重要，考虑到他们可能出现迟发症状和非特异性症状。尽管在这种情况下强调了诊断和程序上的挑战，对于小肠NETs患者,早期手术干预和全面随访是取得良好结局和将复发风险降至最低的关键.
