Clinical example of primary multiple malignant tumors (polyneoplasia)
DOI:
https://doi.org/10.11603/2414-4533.2023.3.13740Keywords:
primary multiple malignant tumor, polyneoplasia, cancrophiliaAbstract
The aim of the work: to analyze the experience of treating cancer of multiple localizations with the main stages of the diagnostic and treatment algorithm.
Materials and Methods. Analysis of medical publications devoted to the clinic, diagnosis and treatment of cancer of multiple localizations, as well as analysis of a clinical case of a patient with polyneoplasia.
Results and Discussion. The clinical case of a patient who was operated on pancreato-duodenal resection according to Whipple (end-to-end pancreato-jejunoanastomosis, hepatico-jejunoanastomosis, entero-gastroanastomosis without preserving the pylorus, entero-enteroanastomosis) for papillary adenocarcinoma of the Pater's nipple complicated by mechanical jaundice is presented.
2011 with a further course of chemotherapy. In 2013, adenocarcinoma of the lower ampullary part of the rectum was diagnosed. The patient underwent a course of chemotherapy with further improvement in his condition.
In 2019, adenocarcinoma of the transverse colon was diagnosed and resection of the latter with end-to-end anastomosis, lymphodissection was performed. Received 3 courses of chemotherapy. After 2 months, a control fibrocolonoscopy was performed, during which a polyp was found on a wide leg in the descending part of the intestine. Endoscopic polypectomy was performed. The patient was discharged in satisfactory condition.
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