Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Thu, Mar 20, 2025
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Volume 15, Issue 2 (Spring 2024)
Caspian J Intern Med 2024, 15(2): 360-363 |
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Ebrahimian S, Soleimani Varaki S, Nasr Esfahani F. Second primary common bile duct neuroendocrine tumor after 10 years in a patient with rectal adenocarcinoma: A case report. Caspian J Intern Med 2024; 15 (2) :360-363
URL: http://caspjim.com/article-1-3633-en.html
URL: http://caspjim.com/article-1-3633-en.html
Department of Surgery, Babol University of Medical Sciences, Babol, Iran , saba_ebr@yahoo.com
Abstract: (1052 Views)
Background: With the improvement of cancer treatment methods and increased life expectancy of patients, the prevalence of second primary cancers has gradually increased.
Case Presentation: In the present study, the case was a 58-year-old man diagnosed with rectal adenocarcinoma and underwent chemotherapy and neoadjuvant radiotherapy 10 years ago. After 5 years, he underwent a lobectomy due to lung metastasis. At the research time, he presented with itching; in ERCP, a 16-millimeter hypoechoic lesion was detected, and an FNA biopsy was performed, indicating malignancy. The patient underwent Whipple surgery, and pathology revealed a well-differentiated neuroendocrine tumor. He was discharged in good general condition.
Conclusion: This article emphasized the necessity of early detection and diagnosis of second primary cancer, as well as acting as if it was primary cancer to treat.
Case Presentation: In the present study, the case was a 58-year-old man diagnosed with rectal adenocarcinoma and underwent chemotherapy and neoadjuvant radiotherapy 10 years ago. After 5 years, he underwent a lobectomy due to lung metastasis. At the research time, he presented with itching; in ERCP, a 16-millimeter hypoechoic lesion was detected, and an FNA biopsy was performed, indicating malignancy. The patient underwent Whipple surgery, and pathology revealed a well-differentiated neuroendocrine tumor. He was discharged in good general condition.
Conclusion: This article emphasized the necessity of early detection and diagnosis of second primary cancer, as well as acting as if it was primary cancer to treat.
Type of Study: case report |
Subject:
Surgery
Received: 2022/08/25 | Accepted: 2023/03/11 | Published: 2024/02/16
Received: 2022/08/25 | Accepted: 2023/03/11 | Published: 2024/02/16
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