[DUODENAL LIPOMA. REVIEW OF THE LITERATURE AND DESCRIPTION OF A CASE].

Atti Accad Fisiocrit Siena Med Fis

Published: December 1996

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Article Synopsis
  • - Duodenal lipoma is a rare tumor with most patients showing no symptoms, often discovered incidentally during imaging exams like CT scans.
  • - A case study is presented of a 77-year-old man who experienced malaise and dyspnea, leading to the incidental finding of a duodenal lipoma on a CT scan.
  • - Diagnosis involves modern imaging techniques, endoscopy, and EUS, while treatment options may vary from observation to surgical removal based on the lesion's characteristics.
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  • The small intestine and ampulla can develop various benign tumors and tumor-like diseases that may resemble cancer, highlighting the need for pathologists to have a comprehensive understanding of these conditions.
  • Key examples of these benign issues include Brunner gland lesions, different types of polyps, and various mesenchymal proliferations like inflammatory fibroid polyps and leiomyomas.
  • The review aims to clarify the histopathological features of these benign conditions to aid pathologists in making accurate diagnoses and differentiating them from malignant tumors.
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  • The increase in pancreatic cystic lesions (PCLs), especially intraductal papillary neoplasms (IPMNs), is largely due to more advanced imaging techniques like CT and MRI, leading to frequent incidental findings.
  • Surveillance for IPMNs is crucial because of their cancer risk, but their similar appearance to benign lesions can cause diagnostic errors, which may result in unnecessary treatments and strain on healthcare resources.
  • The paper focuses on differentiating IPMNs from similar lesions (like serous cystadenomas and others) by examining their imaging features and characteristics, aiming to improve diagnosis accuracy and patient care while reducing healthcare burdens.
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Background/aims: There is limited knowledge regarding the management of duodenal subepithelial lesions (SELs) owing to a lack of understanding of their natural course. This study aimed to assess the natural course of asymptomatic duodenal SELs and provide management recommendations.

Methods: Patients diagnosed with duodenal SELs and followed up for a minimum of 6 months were retrospectively investigated.

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