Diagnostic Dilemma: GI Disease

By Ariy Volfson, MD; Ian Storch, DO; and Matthew McKinley, MD

North Shore University Hospital and ProHEALTHcare Associates, Lake Success and Manhasset, New York

| March 1, 2008

Test your diagnostic skills with the following endoscopic quiz.

An 85-year-old woman presented to the emergency department with epigastric pain and nausea for 2 days. She denied vomiting, fever, or early satiety. The patient stated she had lost 10 pounds over the past 3 months. A CT scan of the abdomen revealed a 1 cm low attenuation lesion in the second portion of the duodenum.

The patient underwent an esophagogastroduodenoscopy (EGD) that confirmed a subepithelial mass (photograph A). The lesion was biopsied (photographs B and C).

1) The endoscopic picture above demonstrates:
a) GIST tumor
b) Intestinal lymphoma
c) Intestinal lymphangiectasia
d) Type II choledocal cyst

2) The next step in treatment for this condition includes:
a) Surgical resection of the lesion
b) Endoscopic mucosal resection
c) Whipple procedure
d) Chemotherapy
e) No treatment is needed

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TOPIC INDEX

Cancer Types
Breast Breast (HER2+) Breast (Triple-Negative) CML Colorectal Gastrointestinal GIST Genitourinary Gynecologic Head & Neck	Hematology Kidney (Renal Cell) Leukemia Lung Lymphoma Melanoma Multiple Myeloma Ovarian Prostate Sarcoma
Supportive Care	More Topics
Bone Metastases End-of-Life Care Palliative Care	Ethics in Oncology Practice Management Practice & Policy

All Topics

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Diagnostic Dilemma: GI Disease

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