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Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report

Background: Recurrent pancreatic cancer may represent a true local recurrence or a second intrapancreatic primary. Resection of recurrent pancreatic cancer is uncommon. Case Presentation: A 68-year-old woman underwent a distal pancreatectomy/splenectomy for pancreatic adenocarcinoma after presenting...

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Autor principal: Hardacre, Jeffrey M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319681/
https://www.ncbi.nlm.nih.gov/pubmed/30631816
http://dx.doi.org/10.1089/crpc.2016.0010
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author Hardacre, Jeffrey M.
author_facet Hardacre, Jeffrey M.
author_sort Hardacre, Jeffrey M.
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description Background: Recurrent pancreatic cancer may represent a true local recurrence or a second intrapancreatic primary. Resection of recurrent pancreatic cancer is uncommon. Case Presentation: A 68-year-old woman underwent a distal pancreatectomy/splenectomy for pancreatic adenocarcinoma after presenting with acute pancreatitis. She received 6 months of adjuvant gemcitabine. Nearly 5 years later, she presented with acute pancreatitis. Endoscopic ultrasonography suggested malignant degeneration of an uncinate intraductal papillary mucinous neoplasm (IPMN), but the cytology was negative. She subsequently underwent a completion pancreaticoduodenectomy for what proved to be a second pancreatic adenocarcinoma. Conclusion: Although uncommon, repeat resection for a second pancreatic cancer may be appropriate in select patients. Careful attention to the remnant pancreas must be maintained on surveillance imaging.
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spelling pubmed-63196812019-01-10 Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report Hardacre, Jeffrey M. Case Rep Pancreat Cancer Case Report Background: Recurrent pancreatic cancer may represent a true local recurrence or a second intrapancreatic primary. Resection of recurrent pancreatic cancer is uncommon. Case Presentation: A 68-year-old woman underwent a distal pancreatectomy/splenectomy for pancreatic adenocarcinoma after presenting with acute pancreatitis. She received 6 months of adjuvant gemcitabine. Nearly 5 years later, she presented with acute pancreatitis. Endoscopic ultrasonography suggested malignant degeneration of an uncinate intraductal papillary mucinous neoplasm (IPMN), but the cytology was negative. She subsequently underwent a completion pancreaticoduodenectomy for what proved to be a second pancreatic adenocarcinoma. Conclusion: Although uncommon, repeat resection for a second pancreatic cancer may be appropriate in select patients. Careful attention to the remnant pancreas must be maintained on surveillance imaging. Mary Ann Liebert, Inc., publishers 2016-06-01 /pmc/articles/PMC6319681/ /pubmed/30631816 http://dx.doi.org/10.1089/crpc.2016.0010 Text en © Jeffrey M. Hardacre 2016; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Hardacre, Jeffrey M.
Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report
title Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report
title_full Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report
title_fullStr Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report
title_full_unstemmed Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report
title_short Completion Pancreaticoduodenectomy for a Second Primary Pancreatic Cancer: A Case Report
title_sort completion pancreaticoduodenectomy for a second primary pancreatic cancer: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319681/
https://www.ncbi.nlm.nih.gov/pubmed/30631816
http://dx.doi.org/10.1089/crpc.2016.0010
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