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Double primary tumors of the pancreas: A case report

RATIONALE: Adenocarcinoma and neuroendocrine tumors are a very rare combination of double primary pancreas tumor. PATIENT CONCERNS: A Whipple operation was initially performed on a 64-year-old man to remove an adenocarcinoma. Four years after the operation, surveillance- computed tomography revealed...

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Autores principales: Kim, Hee Jeong, Park, Mi-hyun, Shin, Byungseok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320203/
https://www.ncbi.nlm.nih.gov/pubmed/30558041
http://dx.doi.org/10.1097/MD.0000000000013616
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author Kim, Hee Jeong
Park, Mi-hyun
Shin, Byungseok
author_facet Kim, Hee Jeong
Park, Mi-hyun
Shin, Byungseok
author_sort Kim, Hee Jeong
collection PubMed
description RATIONALE: Adenocarcinoma and neuroendocrine tumors are a very rare combination of double primary pancreas tumor. PATIENT CONCERNS: A Whipple operation was initially performed on a 64-year-old man to remove an adenocarcinoma. Four years after the operation, surveillance- computed tomography revealed abnormal findings of the pancreas. Recurrent adenocarcinoma and neuroendocrine tumor involving different sites of the remnant pancreas were simultaneously detected and characterized on computed tomography and magnetic resonance imaging. DIAGNOSES: The patient was diagnosed with recurrent adenocarcinoma and neuroendocrine tumor in the post-operative pancreas. INTERVENTIONS: Radical pancreatosplenectomy was performed. The patient underwent subsequent chemotherapy and radiotherapy. OUTCOMES: No tumor recurrence was found during the 5 years of follow-up visits. LESSONS: The possibility of multiple primary tumors of different histological origin should be considered when multiple different pancreatic lesions are detected on images. Computed tomography (CT) and magnetic resonance imaging (MRI) play key roles in the management of multiple tumors in the pancreas.
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spelling pubmed-63202032019-01-14 Double primary tumors of the pancreas: A case report Kim, Hee Jeong Park, Mi-hyun Shin, Byungseok Medicine (Baltimore) Research Article RATIONALE: Adenocarcinoma and neuroendocrine tumors are a very rare combination of double primary pancreas tumor. PATIENT CONCERNS: A Whipple operation was initially performed on a 64-year-old man to remove an adenocarcinoma. Four years after the operation, surveillance- computed tomography revealed abnormal findings of the pancreas. Recurrent adenocarcinoma and neuroendocrine tumor involving different sites of the remnant pancreas were simultaneously detected and characterized on computed tomography and magnetic resonance imaging. DIAGNOSES: The patient was diagnosed with recurrent adenocarcinoma and neuroendocrine tumor in the post-operative pancreas. INTERVENTIONS: Radical pancreatosplenectomy was performed. The patient underwent subsequent chemotherapy and radiotherapy. OUTCOMES: No tumor recurrence was found during the 5 years of follow-up visits. LESSONS: The possibility of multiple primary tumors of different histological origin should be considered when multiple different pancreatic lesions are detected on images. Computed tomography (CT) and magnetic resonance imaging (MRI) play key roles in the management of multiple tumors in the pancreas. Wolters Kluwer Health 2018-12-14 /pmc/articles/PMC6320203/ /pubmed/30558041 http://dx.doi.org/10.1097/MD.0000000000013616 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Kim, Hee Jeong
Park, Mi-hyun
Shin, Byungseok
Double primary tumors of the pancreas: A case report
title Double primary tumors of the pancreas: A case report
title_full Double primary tumors of the pancreas: A case report
title_fullStr Double primary tumors of the pancreas: A case report
title_full_unstemmed Double primary tumors of the pancreas: A case report
title_short Double primary tumors of the pancreas: A case report
title_sort double primary tumors of the pancreas: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320203/
https://www.ncbi.nlm.nih.gov/pubmed/30558041
http://dx.doi.org/10.1097/MD.0000000000013616
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