Autor: |
Fragulidis Georgios, Theodosopoulos Theodosios, Konstantinidis Christos, Marinis Athanasios, Anastasopoulos Georgios, Vassiliou Ioannis |
Jazyk: |
angličtina |
Rok vydání: |
2008 |
Předmět: |
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Zdroj: |
World Journal of Surgical Oncology, Vol 6, Iss 1, p 106 (2008) |
Druh dokumentu: |
article |
ISSN: |
1477-7819 |
DOI: |
10.1186/1477-7819-6-106 |
Popis: |
Abstract Background CREST (Calcinosis, Raynaud's phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasias) syndrome has been rarely associated with other malignancies (lung, esophagus).This is the first report of a primary adenocarcinoma of the third portion of the duodenum in a patient with CREST syndrome. Case presentation A 54-year-old male patient with CREST syndrome presented with colicky postprandial pain of the upper abdomen, diminished food uptake and a 6-Kg-body weight loss during the previous 2 months. An ulcerative lesion in the third portion of the duodenum was revealed during duodenoscopy, with a diagnosis of adenocarcinoma on biopsy specimen histology. The patient underwent a partial pancreatoduodenectomy. No adjuvant therapy was instituted and follow-up is negative for local recurrence or metastases 21 months postoperatively. Conclusion CREST syndrome has been associated with colon cancer, gastric polyps, familial adenomatous polyposis (FAP) syndrome and Crohn's disease; however, this is the first report of a primary adenocarcinoma of the duodenum in a patient with CREST syndrome. However, any etiologic relationship remains to be further investigated. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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