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Combined resection of the duodenum and pancreas for locally advanced colon cancer.
Perez, Rodrigo Oliva; Coser, Roger Beltrati; Kiss, Desidério Roberto; Iwashita, Renato Akira; Jukemura, José; Cunha, José Eduardo Monteiro; Habr-Gama, Angelita.
Afiliação
  • Perez RO; Colorectal Surgery Division, Department of Gastroenterology, School of Medicine, University of São Paulo, Rua Manoel da Nóbrega 1564, 04005001 São Paulo, Brazil. rodrigo.operez@gmail.com
Curr Surg ; 62(6): 613-7, 2005.
Article em En | MEDLINE | ID: mdl-16293496
Colorectal cancer invading adjacent organs is a frequent event occurring in 5.5% to 12% of all colorectal malignancies. Colon cancer directly invading the duodenum and pancreas is rare and may require combined resection of the colon, pancreas, and duodenum, which represents a complex operation with significant morbidity and mortality rates. In this article, a case of a 41-year-old patient with a right colon cancer directly infiltrating the duodenum and head of the pancreas is presented. The patient was treated by radical combined resection of the colon, duodenum, and pancreas. Pathological examination confirmed neoplastic invasion of the adjacent organs and absence of lymph node metastasis (T4N0). The patient recovered uneventfully. Patients with colorectal cancer infiltrating adjacent organs such as the duodenum and the pancreas should be treated by radical en bloc resection of the tumor. This procedure is the preferred treatment strategy because it seems to be associated with improved overall survival rates.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas / Neoplasias do Colo / Neoplasias Duodenais / Neoplasias Primárias Múltiplas Limite: Adult / Humans / Male Idioma: En Revista: Curr Surg Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas / Neoplasias do Colo / Neoplasias Duodenais / Neoplasias Primárias Múltiplas Limite: Adult / Humans / Male Idioma: En Revista: Curr Surg Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos