tailieunhanh - báo cáo khoa học: "Successful one stage operation for a synchronous, duodenal carcinoma, colonic carcinoma and renal oncocytoma in an adult patient"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Successful one stage operation for a synchronous, duodenal carcinoma, colonic carcinoma and renal oncocytoma in an adult patient | Faraj et al. World Journal of Surgical Oncology 2011 9 99 http content 9 1 99 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Successful one stage operation for a synchronous duodenal carcinoma colonic carcinoma and renal oncocytoma in an adult patient Walid Faraj Eman Sbaity Deborah Mukherji Ashraf Shamseddine Ali Shamseddine and Mohamed Khalife Abstract We report a rare case of synchronous duodenal carcinoma colonic carcinoma and renal oncocytoma successfully treated using a one-stage surgical approach. Potential risk factors for multiple primary malignancies associated with duodenal carcinoma are discussed. This case illustrates several practice points for consideration 1. Patients presenting with small intestinal carcinomas have a higher than average chance of developing second primary tumors in other organs this should be taken into consideration during staging and follow-up. 2. For full staging of patients presenting with small bowel tumors upper and lower gastrointestinal endoscopy and PET scanning should be considered. 3. A one-stage surgical procedure can be used safely and successfully for multiple synchronous primary tumors. Keywords Colon cancer duodenal cancer oncocytoma pancreaticoduodenectomy synchronous tumors Background Primary carcinomas of the duodenum excluding carcinoma of the ampulla of Vater have been reported to occur in of all autopsies and in 35-45 of all cases of small intestinal cancer 1 2 . There have been few reported cases in the literature of multiple synchronous primary cancers of the duodenum and colon although a large population-based study has suggested that patients diagnosed with primary duodenal carcinoma have a higher than expected incidence of second primary malignancy 3 . We are reporting a case of synchronous duodenal and colonic carcinomas plus a renal oncocytoma successfully resected using a one-stage surgical approach. Case Report A 67 year old male presented with a history of weight .