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Carcinoid of the Ileum: Unusual Cause of Gastrointestinal Bleeding

Carcinoid of the Ileum: Unusual Cause of Gastrointestinal Bleeding Abstract Malignant neoplasms of the small intestine are rare, comprising 1%-3% of those occurring in the gastrointestinal tract.2 Malignant tumors of the jejunoileum are twice as frequent as the benign type.3 One case of every 15 or 20 cases in the malignant group is a carcinoid.1 Ariel4 reports an incidence of 8.3% of carcinoid in his series of resected neoplasms of the small intestine. Carcinoids of the small intestine are frequently an incidental finding at surgery or autopsy. Dockerty5 and Foreman6 believe the ileum to be the commonest site of extraappendiceal carcinoid, whereas Hines, Hanley, and Boese7 and Mrazek, Godwin, and Mohardt8 report rectal lesions to be the commonest extraappendiceal source. Of small intestinal carcinoids, 24.9% metastasize, but appendiceal carcinoid usually does not.4 Carcinoid of the small intestine produced symptoms in about 36% of the cases and, when symptomatic, was associated with References 1. Maingot, R.: Abdominal Operations , Ed. 3, New York, Appleton-Century-Crofts, Inc., 1955, p. 1109. 2. Maingot,1 p. 1104. 3. Maingot,1 p. 1115. 4. Ariel, I. M.: Argentaffin (Carcinoid) Tumors of the Small Intestine , A. M. A. Arch. Path. 27:25-52 ( (Jan.) ) 1939. 5. Dockerty, M. B.: Carcinoids of the Gastrointestinal Tract, editorial , Am. J. Clin. Path. 25:794-796 ( (July) ) 1955. 6. Foreman, R. C.: Carcinoid Tumors , Ann. Surg. 136:838-855 ( (Nov.) ) 1952.Crossref 7. Hines, M. O.; Hanley, P. H., and Boese, H. L.: Carcinoid Tumors of the Gastrointestinal Tract , A. M. A. Arch. Int. Med. 96:500-506 ( (Oct.) ) 1955.Crossref 8. Mrazek, R. G., Jr.; Godwin, M. C., and Mohardt, J.: Carcinoid Tumors: Clinical and Pathologic Study of 27 Cases , Surg. Gynec. & Obst. 96:661-673 ( (June) ) 1953. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Carcinoid of the Ileum: Unusual Cause of Gastrointestinal Bleeding

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280130167033
Publisher site
See Article on Publisher Site

Abstract

Abstract Malignant neoplasms of the small intestine are rare, comprising 1%-3% of those occurring in the gastrointestinal tract.2 Malignant tumors of the jejunoileum are twice as frequent as the benign type.3 One case of every 15 or 20 cases in the malignant group is a carcinoid.1 Ariel4 reports an incidence of 8.3% of carcinoid in his series of resected neoplasms of the small intestine. Carcinoids of the small intestine are frequently an incidental finding at surgery or autopsy. Dockerty5 and Foreman6 believe the ileum to be the commonest site of extraappendiceal carcinoid, whereas Hines, Hanley, and Boese7 and Mrazek, Godwin, and Mohardt8 report rectal lesions to be the commonest extraappendiceal source. Of small intestinal carcinoids, 24.9% metastasize, but appendiceal carcinoid usually does not.4 Carcinoid of the small intestine produced symptoms in about 36% of the cases and, when symptomatic, was associated with References 1. Maingot, R.: Abdominal Operations , Ed. 3, New York, Appleton-Century-Crofts, Inc., 1955, p. 1109. 2. Maingot,1 p. 1104. 3. Maingot,1 p. 1115. 4. Ariel, I. M.: Argentaffin (Carcinoid) Tumors of the Small Intestine , A. M. A. Arch. Path. 27:25-52 ( (Jan.) ) 1939. 5. Dockerty, M. B.: Carcinoids of the Gastrointestinal Tract, editorial , Am. J. Clin. Path. 25:794-796 ( (July) ) 1955. 6. Foreman, R. C.: Carcinoid Tumors , Ann. Surg. 136:838-855 ( (Nov.) ) 1952.Crossref 7. Hines, M. O.; Hanley, P. H., and Boese, H. L.: Carcinoid Tumors of the Gastrointestinal Tract , A. M. A. Arch. Int. Med. 96:500-506 ( (Oct.) ) 1955.Crossref 8. Mrazek, R. G., Jr.; Godwin, M. C., and Mohardt, J.: Carcinoid Tumors: Clinical and Pathologic Study of 27 Cases , Surg. Gynec. & Obst. 96:661-673 ( (June) ) 1953.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jul 1, 1957

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