Metachronous primary cancer of the tongue and malignant lymphoma of the small intestine
Autor: | Keisuke Sugimoto, Takako Akita, Shinji Uejima, Yoshiro Koma, Kazuya Nambu, Yumiko Uchiyama, Takehiro Fujimoto, Taketomo Toh, Reita Yasue, Jun Ishikawa |
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Rok vydání: | 2021 |
Předmět: |
Abdominal pain
medicine.medical_specialty Vincristine business.industry medicine.medical_treatment Cancer Neck dissection General Medicine medicine.disease Metastasis Lymphoma 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Tongue 030220 oncology & carcinogenesis Carcinoma medicine 030212 general & internal medicine Radiology medicine.symptom business medicine.drug |
Zdroj: | Medicine. 100:e24806 |
ISSN: | 1536-5964 0025-7974 |
DOI: | 10.1097/md.0000000000024806 |
Popis: | Rationale Oral cancer often causes secondary primary cancers in the upper gastrointestinal tract. However, there are no reports of secondary primary cancers in patients with oral squamous cell carcinoma and malignant lymphoma of the small intestine. This report describes a case of metachronous multiple primary cancers of the tongue and small intestine malignant lymphoma. Patients concerns The patient was admitted to our department with the chief complaint of pain in the right tongue. Partial tongue resection and supraomohyoid neck dissection were performed. One year after surgery, the patient experienced abdominal pain and bloody stools. Diagnosis Diffuse large B-cell lymphoma (DLBCL) was diagnosed via histological examination. Interventions A terminal ileum resection was performed. Postoperatively, the patient received 6 courses of rituximab, cyclophosphamide, doxorubicin hydrochloride, vincristine, and prednisone (R-CHOP). Outcomes Five years after his initial diagnosis, there is no evidence of recurrence, metastasis, or other primary cancer. Lessons Oral cancer patients should always be followed up owing to a possibility of malignant tumors in other areas. |
Databáze: | OpenAIRE |
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