Metastatic disease masquerading as small intestinal tumoural masses: two case reports and literature review:

Proceedings of Singapore Healthcare

Jovell Xing YiSim¹ 

关键词: Polyps;    metastases;    intestines;    renal cell carcinoma;    choriocarcinoma;   

DOI  :  10.1177/2010105817691996

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Metastatic disease presenting clinically as small intestinal tumoural masses has been described in the literature but is uncommon. It is imperative to consider the possibility of metastases before diagnosing a primary small intestinal malignancy. We hereby illustrate two such case reports of metastatic disease presenting as tumoural masses in the small intestines. First is a 63-year-old gentleman with known metastatic renal cell carcinoma (RCC) who presented with intestinal obstruction. Radiological imaging of the abdomen revealed a jejuno-jejunal intussusception, secondary to a solitary polypoid tumour. Histology of the polypoid tumour confirmed the presence of clear cell RCC. In our literature review, we note that intussusception is a common presentation in metastatic RCC to the small intestines. Hence, this clinical feature may be useful in determining a metastatic process, even in the setting of a solitary lesion. Second is a 41-year-old lady who presented with massive bleeding from the upper gastroin...

【 授权许可】

CC BY