Gastroenterology MCQ Answer 5

Answer: b, c

Most patients suspected of having small intestinal lymphoma require operation with the goals of treatment including diagnosis, staging, relief of obstruction and perforation, and resection or debulking. Because intraoperative staging affects postoperative management, liver biopsy and sampling of periaortic and mesenteric lymph nodes outside the field of resection are important aspects of the operative management. In contrast there is no role for splenectomy for primary small bowel lymphoma. For localized disease, aggressive resection with wide, en bloc lymphadenectomy is important. Percutaneous biopsy has no role in such cases both because the preoperative diagnosis will not eliminate the need for surgical intervention, and percutaneous biopsy is frequently inadequate to determine necessary information for the treatment of lymphoma.

Category: Gastroenterology MCQs