Synchronous male breast and colon cancer presenting with ileus: A case report
| Autor: | Aziz Ari, Cihad Tatar, Kenan Buyukasik, Coskun Cakir, Ozgur Segmen, Soykan Arikan |
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| Jazyk: | angličtina |
| Předmět: |
Oncology
Male medicine.medical_specialty Ileus Colorectal cancer Colon Male breast 03 medical and health sciences 0302 clinical medicine Breast cancer Internal medicine Case report medicine 030212 general & internal medicine Breast business.industry General surgery Cancer medicine.disease Primary cancer digestive system diseases Synchronous 030220 oncology & carcinogenesis Surgery business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2016.09.023 |
| Popis: | Highlights • Cancer developing from more than one origin is called multiple primary cancer (MPC) and is a rare situation. • We report a male case presenting to the Emergency Clinic with symptoms of ileus who was diagnosed with synchronous colon and breast cancer. • Synchronous colorectal cancer is recognized as an important clinical entity, its clinical and pathological properties as well as prognosis are still undetermined. Introduction Cancer developing from more than one origin is called multiple primary cancer (MPC) and is a rare situation. In this article, we report a case presenting to the Emergency Clinic with symptoms of ileus who was diagnosed with synchronous colon and breast cancer. Presentation of case A 57 year old male patient presented to the Emergency Clinic with abdominal pain, vomiting, constipation and lack of flatulence. The patient was taken to the operating room for emergency surgery with the diagnosis of intestinal obstruction. While still hospitalized, breast ultrasound was performed, revealing a mass lesion in the right breast measuring 2 cm. The core biopsy result was suggestive of invasive ductal adenocarcinoma. Right modified radical mastectomy with removal of the level 2 axillary lymph nodes was performed. The result of the histopathological investigation of the right hemicolectomy specimen was reported as moderately differentiated adenocarcinoma, while that of the mastectomy material was invasive ductal adenocarcinoma. Discussion Synchronous colorectal cancer is recognized as an important clinical entity, its clinical and pathological properties as well as prognosis are still undetermined. A family history of cancer might be a significant factor in synchronous cancers. Many of the theories about the etiology of multiple primary malignant neoplasia suggest the role of genetic, hormonal, environmental and immunological factors as well as iatrogenic causes. Conclusion Especially for patients whose treatment begins in the emergency settings, meticulous systemic physical examination is recommended to initiate treatment of a possible synchronous tumor at an earlier stage. |
| Databáze: | OpenAIRE |
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