Multiple primary malignancies: synchronous lymphoma, pancreatic neuroendocrine tumour and colorectal cancer
| Autor: | Gilles Dietrich, Nicolas Dayer, François Fasquelle, Emanuela Salati |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Colorectal cancer medicine.medical_treatment pancreatic cancer Case Report 030209 endocrinology & metabolism Neoplasms Multiple Primary Polymyalgia rheumatica surgical oncology 03 medical and health sciences 0302 clinical medicine Surgical oncology Positron Emission Tomography Computed Tomography Pancreatic cancer Pancreatic mass medicine Humans Aged Chemotherapy business.industry endocrine cancer General Medicine medicine.disease Neuroendocrine tumour Lymphoma Pancreatic Neoplasms colon cancer 030220 oncology & carcinogenesis pathology Female Lymphoma Large B-Cell Diffuse Radiology Colorectal Neoplasms business |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2021-241938 |
| Popis: | A 67-year-old woman underwent a medical check-up by her general practitioner after complaining of atypical pain in the shoulder girdle. Due to the important inflammatory syndrome noticed on blood testing, a polymyalgia rheumatica was suspected and she was started on corticosteroid treatment with good clinical response, but no impact on inflammation. She underwent extensive imaging with a thoraco-abdominal CT scanner that demonstrated a pancreatic mass, then later a PET-CT showed 3 different hyperactive lesions. Biopsies then revealed simultaneous diffuse large B-cell lymphoma (DLBCL), colorectal adenocarcinoma and pancreatic neuroendocrine tumour. She benefited from low rectal endoscopic excision of the colorectal tumour, R-CHOP chemotherapy for DLBCL and laparoscopic left pancreatectomy. Successful treatment required a good multidisciplinary collaboration between the different specialists. The patient made a good recovery and achieved complete remission at 1 year. This an unusual presentation of multiple primary malignancies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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