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. 2011 Aug;84(1004):677–690. doi: 10.1259/bjr/20673379

Table 2. Summary of typical and atypical imaging findings of small intestine neoplasms.

Histology Typical appearance Atypical appearance
Adenocarcinoma Concentric lumen narrowing with irregular edges Polypoid lesions with well-defined surface and margins
Complete bowel obstruction Central ulcerations
Heterogenous enhancement Duodenal localisation
Carcinoid Small (<2 cm) single or multiple filling defects Ill-defined thickening of bowel wall without discrete mass
Desmoplastic reaction of the mesentery Absence of desmoplastic reaction
Hypervascular Duodenal or jejunal localisation
Lymphoma Coarse segmental wall thickening with ulceration and necrosis Discrete polyp that may be a lead point of intussusception
Bulky lymphyadenopathies Absence of significant lymphoadenopathies
Aneurysmal dilatation of bowel loops No signs of bowel occlusion
GIST Large regular mass with inhomogeneous enhancement Irregular mass with low attenuation and poor enhancement
Necrosis and/or ulceration Larger calcifications
Ileal localisation Direct vascular encasement
Metastases Intraluminal nodules develeloping from haematogenous spread to submucosal layers Large serosal masses developed from intraperitoneal seeding from gastrointestinal cancers

GIST, gastrointestinal stromal tumour.