@entity674 with liver XXXX .

@entity1 @entity417 @entity1353 @entity5 @entity96 @entity1066 @entity4483 @entity2467 @entity1277 @entity3 @entity674 @entity2280
Primary @entity5 of the small intestine are rare. Malignant @entity674 are the third most common @entity5 among primary @entity5 . A 56-year-old @entity1 was admitted to our hospital because of @entity1277 and @entity1353 with movement. On admission, physical examination revealed severe @entity417 in her conjunctiva and a @entity5 in her left abdomen. Her hemoglobin level was 6.2 g/dL and other laboratory data were normal. Abdominal ultrasonograms and computed tomograms revealed a 55 x 70-mm heterogeneous mass and multiple low-density masses in the liver. Superior mesenteric arteriograms revealed a hypervascular @entity5 fed by the jejunal arteries. A @entity674 arising from the jejunum with liver @entity3 was suspected. Partial resection of the affected jejunum and left trisegmentectomy of the liver were performed. The resected @entity5 was 120 x 45 x 65 mm. The @entity5 was mainly submucosal, but extended outside the jejunum; it was elastically firm and multiloculated. A small @entity1066 was seen on the mucosal side. The metastatic @entity96 were solid or cystic with diameters of 20 to 40 mm. Histopathological examination revealed that the @entity5 were characterized by fascicular proliferation of spindle-shaped cells. Immunohistochemical staining was positive for @entity2280 and @entity2467 , and negative for @entity4483 protein and smooth muscle actin. This case was a @entity674 originating in the jejunum with liver @entity3 . The @entity5 and liver @entity3 were successfully resected simultaneously.
