Double primary tumors of the pancreas: A case report

Adenocarcinoma and neuroendocrine tumors are a very rare combination of double primary pancreas tumor. 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 pan...

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Veröffentlicht in:Medicine (Baltimore) 2018-12, Vol.97 (50), p.e13616-e13616
Hauptverfasser: Kim, Hee Jeong, Park, Mi-hyun, Shin, Byungseok
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creator Kim, Hee Jeong
Park, Mi-hyun
Shin, Byungseok
description Adenocarcinoma and neuroendocrine tumors are a very rare combination of double primary pancreas tumor. 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. The patient was diagnosed with recurrent adenocarcinoma and neuroendocrine tumor in the post-operative pancreas. Radical pancreatosplenectomy was performed. The patient underwent subsequent chemotherapy and radiotherapy. No tumor recurrence was found during the 5 years of follow-up visits. 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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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; PubMed Central; Alma/SFX Local Collection
subjects Adenocarcinoma - complications
Adenocarcinoma - pathology
Clinical Case Report
Humans
Male
Middle Aged
Pancreas - pathology
Pancreatic Neoplasms - etiology
Pancreatic Neoplasms - pathology
Pancreaticoduodenectomy - methods
Tomography, X-Ray Computed - methods
title Double primary tumors of the pancreas: A case report
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