Small intestine cancer physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
Common physical exam findings include abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, or enlarged lymph nodes.
Physical Examination
- Clinical features of small intestinal tumors have not been clearly studied, as its a rare condition.[1]
- Advanced stage tumors present with signs of intestinal obstructions.
- Common physical exam findings include abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, or enlarged lymph nodes. The stool must be checked for blood.
- Majority of patients with small Intestinal cancers are asymptomatic or have non-specific symptoms, which contributes to its late diagnosis, misdiagnoses and more investigations.[2]
- Symptoms are nonspecific and can include:
- Nausea and vomiting
- Abdominal pain
- Weight loss
- Abdominal mass
- Anemia
- Obstruction
- Jaundice
- Anorexia
- Melaena
- Symptoms related to obstruction appear when tumor is at advanced stage as, contents of small intestine are mostly fluid.
- Due to non-specific symptoms, a very high level of suspicion is required.[3] [4] [5]
References
- ↑ Higashi D, Ishibashi Y, Tamura T, Nii K, Egawa Y, Koga M, Tomiyasu T, Harimura T, Tanaka R, Futatsuki R, Noda S, Futami K, Maekawa T, Takaki Y, Hirai F, Matsui T (August 2010). "Clinical features of and chemotherapy for cancer of the small intestine". Anticancer Res. 30 (8): 3193–7. PMID 20871040.
- ↑ Williamson JM, Williamson RC (January 2014). "Small bowel tumors: pathology and management". J Med Assoc Thai. 97 (1): 126–37. PMID 24701741.
- ↑ Zollinger RM (June 1986). "Primary neoplasms of the small intestine". Am. J. Surg. 151 (6): 654–8. PMID 2424326.
- ↑ Wilson JM, Melvin DB, Gray GF, Thorbjarnarson B (August 1974). "Primary malignancies of the small bowel: a report of 96 cases and review of the literature". Ann. Surg. 180 (2): 175–9. PMC 1343634. PMID 4843046.
- ↑ Ouriel K, Adams JT (January 1984). "Adenocarcinoma of the small intestine". Am. J. Surg. 147 (1): 66–71. PMID 6691554.