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Daily Case Vignette - CTisus.com — Small Bowel. Machine-transcribed; use the interactive transcript above to jump the player to any line.
The most likely diagnosis in this case, while I see a mass in the root of the mesentery, there's calcifications present, there's mass present, and there's an vascular involvement. So what can I be thinking of? Lymphoma doesn't have calcification unless you've been radiated, so we'll assume that's not the case. Sclerorosing mesenteritis is a possibility. Sclerorosing mesenteritis in carcinoy tumors can look the same. Both of them calcify in about 70% of cases. Again, with carcinoy tumor, you're more likely to see increased desmo plastic reaction, which I see here. And so carcinoy tumors, the correct answer, but it's hard to argue with sclerorosing mesenteritis. So again, this was the case of carcinoy tumor.
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