The Cytologic Diagnosis of Duodenal Sarcoma (Polymorphic Reticulosarcoma)

Case Reports1 December 1953THE CYTOLOGIC DIAGNOSIS OF DUODENAL SARCOMA (POLYMORPHIC RETICULOSARCOMA)MOSHE B. GOLDGRABER, CYRUS E. RUBIN, FRANCIS J. OWENSMOSHE B. GOLDGRABERSearch for more papers by this author, CYRUS E. RUBINSearch for more papers by this author, FRANCIS J. OWENSSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-39-6-1316 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe rarity of duodenal sarcoma has been repeatedly stressed by various authors,2, 3, 5, 9, 13, 14, 21, 26and the literature consists primarily of single case reports.2, 6, 11, 12, 24, 27, 32We add another case report to show how a definitive preoperative diagnosis can be made by the cytologic method. In the past the clinical diagnosis of this condition was infrequent because obstructive symptoms in small bowel sarcoma are unusual in contrast to carcinoma. The roentgenologic diagnosis of these tumors has been carefully evaluated by Freud,10who found correct diagnosis most difficult. The lack of stenosis,...Bibliography1. Berman L: Malignant lymphomas and their relation to leukemia, Blood 8: 195, 1953. CrossrefMedlineGoogle Scholar2. BrombartBodartVan LerbergheWeill MJRIP: Un cas de lymphome malin primitif du duodenum, Acta gastroenterol. belg. 14: 254, 1951. MedlineGoogle Scholar3. Buckstein J: The digestive tract in roentgenology, 1948, J. B. Lippincott Co., p. 391. Google Scholar4. CarlisleJudd JCEG: Regional enteritis involving the duodenum, Proc. Staff Meet., Mayo Clin. 27: 569, 1952. MedlineGoogle Scholar5. Cheever D: Clinical aspects and treatment of primary lymphosarcoma of the stomach and intestines, Ann. Surg. 36: 911, 1932. CrossrefGoogle Scholar6. de la CruzGomez AF: Linfosarcoma reticular de yeyuno, Rev. clin. españ. 48: 188, 1951. Google Scholar7. Devine JW: A new tube for use in treatment of intestinal obstruction, J. A. M. A. 148: 115, 1952. CrossrefMedlineGoogle Scholar8. Ewing T: Neoplastic diseases. A treatise on tumors, 1942, W. B. Saunders Co., Philadelphia, p. 417. Google Scholar9. FaulknerDockerty FWUB: Lymphosarcoma of the small intestine, Surg., Gynec. and Obst. 95: 76, 1952. MedlineGoogle Scholar10. Freud F: Röntgendiagnose des typischen primären Sarcoms des oberen Dünndarms, Klin. Wchnschr. 53: 852, 1916. Google Scholar11. Frugoni C: Ittero da ritenzione, Policlinico (sez. prat.) 44: 3, 1937. Google Scholar12. Grilli A: Forme rare del linfosarcoma primitivo del tenue, Ann. di radiol. e fis. med. 10: 57, 1936. Google Scholar13. Graves S: Primary lymphoblastoma of the intestine, J. M. Research 40: 415, 1919. MedlineGoogle Scholar14. KellogKellog ELWA: Tumors of the duodenum, Am. J. Surg. 19: 268, 1933. CrossrefGoogle Scholar15. Krumbhaar EB: The lymphatoid diseases, J. A. M. A. 106: 286, 1936. Google Scholar16. LemonByrnes HMWW: Cancer of the biliary tract and pancreas, J. A. M. A. 141: 254, 1949. CrossrefMedlineGoogle Scholar17. Lemon HM: The clinical value of duodenal drainage in the diagnosis of carcinoma of the biliary tract, New York State J. Med. 512: 2155, 1951. Google Scholar18. LevratBretteDevic et Madonna MRM: Deux cas de sarcome du jéjunum, Arch. d. mal. de l'app. digestif. 41: 52, 1952. MedlineGoogle Scholar19. LevratChattotGuillemet MRT: Cancer du duodenum a type clinique de cancer pylorique, Arch. d. mal. de l'app, digestif. 40: 945, 1951. MedlineGoogle Scholar20. Libman E: Sarcoma of the small intestine, Am. J. M. Sc. 120: 309, 1900. CrossrefGoogle Scholar21. Locke GJ: Malignant neoplasms of the small intestine, Am. J. Surg. 85: 127, 1952. CrossrefGoogle Scholar22. MackenzieMiller LLHB: Primary carcinoma of the duodenum; report of a case in which malignant cells were recovered by duodenal drainage, Gastroenterology 12: 309, 1949. CrossrefMedlineGoogle Scholar23. McNeerEwing GTH: Exfoliated pancreatic carcinoma cells in duodenal drainage, Cancer 2: 643, 1949. CrossrefMedlineGoogle Scholar24. Mostowska Z: Globo-cellular sarcoma of duodenum, Polska gaz. lek. 16: 250, 1927. Google Scholar25. PalmerRubin WLCE: Editorial: Exfoliative cytology of the digestive tract, Am. J. Med. 15: (Oct.) 1953. CrossrefMedlineGoogle Scholar26. Present AI: Primary lymphosarcoma of duodenum, Am. J. Roentgenol. 41: 545, 1939. Google Scholar27. PreyFosterDennis DJMW: Primary sarcoma of the duodenum, Arch. Surg. 97: 68, 1933. Google Scholar28. Robb-Smith AH: Reticulosis and reticulosarcoma; histological classification, J. Path. and Bact. 47: 457, 1938. CrossrefGoogle Scholar29. RubinPalmerKirsner CEWLJB: The present status of exfoliative cytology in the diagnosis of gastrointestinal malignancy, Gastroenterology 21: 1, 1952. CrossrefMedlineGoogle Scholar30. RubinMasseyKirsnerPalmerStonecypher CEBWJBWLDD: The clinical value of gastrointestinal cytologic diagnosis, Gastroenterology 25: (Oct) 1953. CrossrefGoogle Scholar31. RubinMassey CEBW: Preoperative diagnosis of gastric and duodenal malignant lymphoma by exfoliative cytology, to be published. Google Scholar32. Udaondo CB: Las neoplasias del duodeno, Prensa méd. argent. 38: 2520, 1951. MedlineGoogle Scholar33. UllmanAbeshouse ABS: Lymphosarcoma of small and large intestines, Ann. Surg. 95: 878, 1932. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication May 18, 1953.From the Frank Billings Medical Clinic, Department of Medicine, The University of Chicago.This study was facilitated by the Stewart Fund Grant to The University of Chicago.†Damon Runyon Fellow. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCytopathology of Human Gastrointestinal CancersPrimary tumor of the duodenumThe value of gastric cytology in the diagnosis of mesenchymal tumorsThe Diagnosis of Cancer of the Pancreas, Biliary Tract, and Duodenum by Combined Cytologic and Secretory MethodsExfoliative Cytology: A Valuable Method for Diagnosing Gastrointestinal CancerThe preoperative diagnosis of gastric and duodenal malignant lymphoma by exfoliative cytology 1 December 1953Volume 39, Issue 6Page: 1316-1322KeywordsSarcomaStenosis ePublished: 1 December 2008 Issue Published: 1 December 1953 PDF downloadLoading ...