A case report of rectal adenocarcinoma with intrahepatic cholangiocarcinoma of the liver
| Autor: | Chu-xiao Shao, Jin-de Zhu, Chuan Jiang, Jing-qiang Guo, Jing-jing Zou |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
rectal adenocarcinoma
Male Medicine (General) medicine.medical_specialty Case Reports Adenocarcinoma 030230 surgery Biochemistry Gastroenterology Cholangiocarcinoma 03 medical and health sciences R5-920 0302 clinical medicine intrahepatic cholangiocarcinoma Fluorodeoxyglucose F18 Internal medicine medicine Rectal Adenocarcinoma Humans Intrahepatic Cholangiocarcinoma transarterial chemoembolisation Rectal Neoplasms business.industry Liver Neoplasms Biochemistry (medical) Multiple primary tumours Cell Biology General Medicine Middle Aged carbohydrate antigen 19-9 Magnetic Resonance Imaging liver metastasis 030220 oncology & carcinogenesis business |
| Zdroj: | Journal of International Medical Research, Vol 47 (2019) The Journal of International Medical Research |
| ISSN: | 1473-2300 0300-0605 |
| DOI: | 10.1177/0300060519876751 |
| Popis: | Objective In this case report, we describe our experience with a patient who was treated for rectal adenocarcinoma complicated with primary cholangiocarcinoma of the liver and highlight the problems in the diagnosis and treatment of these potentially fatal lesions. Methods In the clinical setting, we often use the concept of “monism” for diagnosis and treatment. In this report, we review the diagnosis and treatment of rectal adenocarcinoma complicated with primary cholangiocarcinoma of the liver. Results Four months after surgery, the patient’s carbohydrate antigen 19-9 level was elevated, and positron emission tomography/computed tomography showed multiple liver metastases. The patient underwent three rounds of transarterial chemoembolisation and two rounds of radiofrequency ablation at our hospital for recurrent hepatocellular carcinoma. The clinical response was poor and indicative of progression of intrahepatic lesions. Conclusion A preoperative multidisciplinary team, rapid intraoperative pathological examination, and active comprehensive postoperative treatment are necessary to improve the prognosis of multiple primary tumours. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|