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.