1. A case report of three synchronous tumors in the same pancreatic specimen
- Author
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Francesco Carlei, Lucia Romano, Gino Coletti, Walid A. Fatayer M, Sayali Valiyeva, Gianni Lazzarin, Mario Schietroma, Vincenzo Vicentini, and Antonio Giuliani
- Subjects
Pathology ,medicine.medical_specialty ,Pancreatic neuroendocrine tumor(PanNET) ,Ectopic pancreatic tissue ,Locally advanced ,Case Report ,030230 surgery ,Neuroendocrine tumors ,03 medical and health sciences ,0302 clinical medicine ,Occlusion ,medicine ,Solid tumor ,Ectopic pancreatic tissue of the duodenum (EPT) ,Duodenal adenocarcinoma (DA) ,business.industry ,General Medicine ,medicine.disease ,Multiple pancreatic tumors ,Dysphagia ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Duodenum ,Surgery ,Duodenal adenocarcinoma ,medicine.symptom ,business - Abstract
It is known that Duodenal adenocarcinoma (DA) is a rare malignant solid tumor that cause occlusion symptoms with orthodox dysphagia when locally advanced. Pancreatic neuroendocrine tumors (PanNETs) account for about 2% of all pancreatic neoplasms. The combination of these two lesions, with the synchronous presence of ectopic pancreatic tissue (EPT) of the duodenum, has never been described in literature, to our knowledge. Here we report a case of combined DA, EPT and PanNET affecting a 71-year-old woman., Highlights • Simultaneous presence of Duodenal adenocarcinoma pancreatic neuroendocrine tumor ectopic pancreatic tissue of duodenum. • Biochemical tests did not reveal abnormalities: CA 19-9 was normal, CEA was 153 U/L. • Ultrasonography confirmed a nodule dislocating pancreas investigated with contrast-enhanced CT and esophagogastroduodenoscopy. • The association between duodenal adenocarcinomas, PanNET and ectopic pancreatic tissue (EPT) of the duodenum is really rare.
- Published
- 2019
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