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Metastatic Adenocarcinoma to Small bowel
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Metastatic Adenocarcinoma to Small bowel

This tumor nodule is typical of metastatic lesions to the small intestine in that it sits on the serosal surface, is very well circumscribed and is surrounded by normal intestine
Uniform white color is typical
(Description By:Martin Nadel, M.D. )
(Image Contrib. by: Saint Francis Hospital )
Metastatic Neoplasms to Small Intestine
Etiology

Dependent on primary.
Pathogenesis

Neoplastic cells may reach the small bowel via serosal spread or via hematogenous or lymphatic spread.,
Epidemiology

Common with ovarian neoplasms which often simply involve the serosal surface
Maligant melanoma, lung and breast neoplasms, and choriocarcinoma are most common
General Gross Description

Often multinodular, may involve full thickness of wall of small bowel, may ulcerate.
General Microscopic Description

Dependent on histology of primary neoplasm.
Clinical Correlation

Patients often present with obstruction or perforation.
Treatment is palliative
References

Rosai J: Ackerman's Surgical Pathology. 8th ed. St. Louis, Mosby-YearBook, 1996, pp. 699.
Metastatic Neoplasms to Small Intestine
Synopsis by: Melinda Sanders M.D. (T64000M81406)[536]
Search Medline at National Library of Medicine
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