Mesenteric tumor dangerous?

The article is professionally consulted by resident Doctor Le Thanh Tuan - Department of General Surgery - Vinmec Nha Trang International General Hospital.

Mesenteric tumors are rare lesions. Tumors may be cystic or solid and may be benign or malignant. Whether mesenteric tumor is dangerous or not, the doctor will have to base it on clinical evidence to make a conclusion.

Mesenteric tumor is a tumor in the mesentery of the small intestine, the colon can be palpable in the abdomen. This is easily confused with other diseases of the abdomen that require imaging or testing necessary for a definitive diagnosis.
Mesenteric tumors can be encountered at any age from birth. birth to adulthood. Primary solid tumors are rare. Of all the types of mesenteric tumours, primary mesenteric malignancies are actually very rare, possibly as rare as small bowel malignancies.
The presence of any solid mass of the mesentery is not generally considered to be lymphatic hypertrophy or lymphoma, which warrants resection of the tumor. When malignancy of the mass cannot be ruled out, prolonged follow-up is necessary. In certain circumstances, a biopsy is indicated to help confirm the diagnosis.
Benign mesenteric tumors can often be treated with an incision. Invasive melanoma requires resection of the cancer and invasive or metastatic tissues.

Mesenteric tumors cause painful manifestations. Visceral pain may be related to a mass effect on the peritoneum or traction on the mesentery. This is a deep and non-localized pain usually in the center of the abdomen.
Have symptoms of intestinal obstruction such as:
Abdominal pain Nausea and vomiting Constipation. Because the mesenteric tumor does not involve the gastrointestinal tract, there are only symptoms of intestinal obstruction for large benign mesenteric tumors or late-stage malignant mesenteric tumors. In cases of malignancy, bowel obstruction may be secondary to the primary lesion. With benign tumors such as lipomas, the pathophysiology causing intestinal obstruction is very complicated.
Other symptoms of mesenteric tumor may be:
Palpable abdominal mass Nausea, vomiting Diarrhea Flatulence Constipation . Mesenteric tumors can cause small bowel compression, intestinal volvulus, tumor infarction causing bowel necrosis. If not diagnosed in time, the patient can die.
Mesenteric tumours can lead to acute appendicitis (result of intestinal volvulus). Depending on whether the tumor is benign or malignant, the level of danger varies. The prognosis for melanoma is often poor because it is often detected at a late stage, easily spreading and invading neighboring organizations.

Mesenteric tumors are classified as solid or cystic, benign or malignant. Central tumors are often discovered incidentally or during investigation of nonspecific symptoms. While clinical and imaging examination may be sufficient for diagnosis, histopathology is usually required by percutaneous or surgical biopsy, or immediate resection. Therapeutic options vary widely depending on the nature of the lesion; They range from simple observation or medical treatment to surgery.
Benign mesenteric mass: Most are found only in the mesentery of the small intestine. Mostly lymphangiomas, simple peritoneal cysts, and intestinal cysts were also found, as were rare mesenteric mesotheliomas that emerged as a cystic complex at laparotomy. The benign neoplasm of fetal adipose tissue is usually recognized as a palpable abdominal mass on physical examination and is very responsive to complete surgical resection. Mesenteric malignancies: Primary mesenchymal or stromal malignancies of the mesentery as well as the great-small omentum are a rare subgroup of abdominal cancers resembling retroperitoneal sarcoma or gastrointestinal stromal tumors. . Mesenteric lipodystrophy: Mesenteric lipodystrophy is a rare condition that can be confused with mesenteric neoplasms clinically and on imaging. The mass consisted of hyperplastic adipose tissue, dense fibrous tissue, and fatty degeneration, along with nonspecific inflammatory infiltrates. The most common presenting symptom was abdominal pain, although fever, mesenteric calcifications, and intestinal protein loss have been reported. Mesenteric lymphadenopathy: Inflammatory causes of enlarged lymph nodes include bacteria, Mycobacterium, and histoplasmosis. A large number of these cases are reported as the onset of HIV infection. Although lymphadenopathy is often associated with tuberculosis, lymphadenitis is mentioned as the primary problem. Dr. Le Thanh Tuan has experience in examination, treatment and surgery of abdominal pathologies (both open surgery and laparoscopic surgery). In particular, the doctor has strengths in pediatric surgery to treat diseases such as: intussusception, appendicitis, inguinal hernia, postpartum malformations (fetal peritonitis, megacolon, no anus).