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Pancreatic cancer with synchronous peritoneal and hepatic metastases: A case report
被引:0
|作者:
Tentes, Antonios-Apostolos
[1
]
Kyziridis, Dimitrios
[1
]
Kalakonas, Apostolos
[1
]
Iliadis, Alexandros
[2
]
Fotiadou, Anastasia
[2
]
机构:
[1] EUROMEDICA, Viziis 1, Thessaloniki 54636, Greece
[2] Lab Diagnost Histopathol, Mitropoleos 115, Thessaloniki 54622, Greece
来源:
关键词:
Cytoreductive surgery;
HIPEC;
RFA;
Pancreatic cancer;
Peritoneal metastases;
Hepatic metastases;
CYTOREDUCTIVE SURGERY;
RESECTION;
LIVER;
ADENOCARCINOMA;
HIPEC;
D O I:
10.1016/j.ijscr.2024.109588
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Introduction and importance: There is evidence that patients with limited peritoneal carcinomatosis of pancreatic cancer or those with low burden of hepatic metastases are amenable to surgical resection. A case report of a patient with cancer of the pancreatic tail and synchronous peritoneal and hepatic metastases is presented. Case presentation: A male patient, 66 years old, underwent cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) and radio-frequency ablation (RFA) for synchronous hepatic metastases simultaneously to distal pancreatectomy for adenocarcinoma of the pancreas. Adjuvant chemotherapy followed the R0 surgery. The patient remained disease free for 18 months, developed liver recurrence and died 28 months after the initial operation. Discussion: CRS plus HIPEC with synchronous ablation or resection of hepatic metastases may be used for the treatment of pancreatic cancer with synchronous peritoneal and hepatic metastases in highly selected patients. Conclusion: Further studies are needed to confirm whether patients with synchronous peritoneal and hepatic metastases are offered survival benefit from complex surgical intervention (CRS plus HIPEC combined with hepatic resection or RFA).
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