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Gastrointestinal Tumors

7 Cases

A 58-year-old obese female patient has been suffering from lower abdominal pain for 2 months and has already lost 15 kg of weight. CT of the abdomen shows a space-occupying lesion in the small pelvis with extension to the mid-abdomen, areas of necrosis and individual calcifications. What are your next steps?

A 46-year-old man presents with increasing anal discomfort and slight pain during defecation over the last few weeks. The present HIV infection is successfully controlled with anti-retroviral therapy. There has been no examination of the patient’s anal area so far. The cardiopulmonary examination findings are unremarkable. Inspection of the anus reveals a suspicious space-occupying lesion. The routine laboratory examination shows mild anaemia with normal leukocytes and platelets, CRP is slightly elevated, LDH is just above normal. How do you proceed diagnostically?

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A 62-year-old male patient suffers from dysphagia and weight loss. Further examinations reveal a hypochromic microcytic anaemia, a large ulcer suspected of malignancy, and an ulcerated, poorly differentiated adenocarcinoma. What is your further approach?

In a 71-year-old male patient with abdominal pain, diarrhoea and yellowing of the sclerae, a CT scan of the abdomen shows a space-occupying lesion in the region of the pancreatic head, enlarged regional lymph nodes and several suspicious bilobar hepatic space-occupying lesions. What is your tentative diagnosis?

This content was originally published in German and has been translated to English.