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Duodenal Metastases and Lymphoma
Michael P. Federle, MD, FACR; R. Brooke Jeffrey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Involvement of duodenum with malignant lymphoma or metastatic disease

              IMAGING

              • General Features

                • Fluoroscopic Findings

                  • CT Findings

                    • MR Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Karakatsanis A et al: Obstructive jaundice due to ampullary metastasis of renal cell carcinoma. World J Surg Oncol. 11:262, 2013
                                          2. Zenali M et al: Clinicopathologic features and prognosis of duodenal adenocarcinoma and comparison with ampullary and pancreatic ductal adenocarcinoma. Hum Pathol. 44(12):2792-8, 2013
                                          3. Nihon-Yanagi Y et al: A case of recurrent invasive lobular carcinoma of the breast found as metastasis to the duodenum. Breast Cancer. 16(1):83-7, 2009
                                          4. Xu GQ et al: Values of endoscopic ultrasonography for diagnosis and treatment of duodenal protruding lesions. J Zhejiang Univ Sci B. 9(4):329-34, 2008
                                          5. Woo KH et al: Duodenal mucosa-associated lymphoid tissue lymphoma: a case report. Korean J Intern Med. 22(4):296-9, 2007
                                          6. Horton KM et al: Multidetector-row computed tomography and 3-dimensional computed tomography imaging of small bowel neoplasms: current concept in diagnosis. J Comput Assist Tomogr. 28(1):106-16, 2004
                                          7. Elliott LA et al: Metastatic breast carcinoma involving the gastric antrum and duodenum: computed tomography appearances. Br J Radiol. 68(813):970-2, 1995
                                          8. Cirillo M et al: Primary gastrointestinal lymphoma: a clinicopathological study of 58 cases. Haematologica. 77(2):156-61, 1992
                                          9. Najem AZ et al: Primary non-Hodgkin's lymphoma of the duodenum. Case report and literature review. Cancer. 54(5):895-8, 1984
                                          10. Balthazar EJ: Duodenal Hodgkin's disease. Am J Gastroenterol. 68(3):306-11, 1977
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Involvement of duodenum with malignant lymphoma or metastatic disease

                                                      IMAGING

                                                      • General Features

                                                        • Fluoroscopic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Karakatsanis A et al: Obstructive jaundice due to ampullary metastasis of renal cell carcinoma. World J Surg Oncol. 11:262, 2013
                                                                                  2. Zenali M et al: Clinicopathologic features and prognosis of duodenal adenocarcinoma and comparison with ampullary and pancreatic ductal adenocarcinoma. Hum Pathol. 44(12):2792-8, 2013
                                                                                  3. Nihon-Yanagi Y et al: A case of recurrent invasive lobular carcinoma of the breast found as metastasis to the duodenum. Breast Cancer. 16(1):83-7, 2009
                                                                                  4. Xu GQ et al: Values of endoscopic ultrasonography for diagnosis and treatment of duodenal protruding lesions. J Zhejiang Univ Sci B. 9(4):329-34, 2008
                                                                                  5. Woo KH et al: Duodenal mucosa-associated lymphoid tissue lymphoma: a case report. Korean J Intern Med. 22(4):296-9, 2007
                                                                                  6. Horton KM et al: Multidetector-row computed tomography and 3-dimensional computed tomography imaging of small bowel neoplasms: current concept in diagnosis. J Comput Assist Tomogr. 28(1):106-16, 2004
                                                                                  7. Elliott LA et al: Metastatic breast carcinoma involving the gastric antrum and duodenum: computed tomography appearances. Br J Radiol. 68(813):970-2, 1995
                                                                                  8. Cirillo M et al: Primary gastrointestinal lymphoma: a clinicopathological study of 58 cases. Haematologica. 77(2):156-61, 1992
                                                                                  9. Najem AZ et al: Primary non-Hodgkin's lymphoma of the duodenum. Case report and literature review. Cancer. 54(5):895-8, 1984
                                                                                  10. Balthazar EJ: Duodenal Hodgkin's disease. Am J Gastroenterol. 68(3):306-11, 1977