Neoplasms

Small intestinal neoplasms are surprisingly and universally rare. Documented rarity, further complicated by non-specific clinical presentation and a small index of clinical suspicion make their detection a challenge for both the physician and the radiologist. A mean symptoms-diagnosis interval up to three years for benign tumors and two years for malignant neoplasms has been reported. Inadequate radiologic examination or incorrect interpretation of radiological findings is estimated to account for an average of twelve months delay in diagnosing primary malignancies of the small intestine. Radiological appearances of these neoplasms, however, shown with enteroclysis and CT or MR imaging correlates almost perfectly with the morphological changes recognized in the gross pathology specimens. This ability to accurately image small intestinal neoplasms, independently of their size, anatomic localization and growth tendency, represents a major improvement in their diagnosis and management.

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