The authors report a clinical case of a synchronous double cancer of the colon and pancreas. Having carefully examined the scarce literature, they dwell on the inci- dence of this disease referring to frequencies that in the literature range from 0.06% and 0.55% while considering that some series do not show any association between the two neo- plasms. The authors analyze the role of the col- orectal follow-up. In fact, such a follow-up, even if only providing a relative improvement in disease-free survival, has allowed for a treat- ment of the two certainly not-advanced tumors ensuring the patient a good prognosis. Finally, the authors analyze how endoscopic ultra- sound-guided fine-needle aspiration made pos- sible a preoperative diagnosis of small pancre- atic cancer, and show that, the positive predic- tive value (PPV) of this method was 100%.
Gli autori riportano un caso clinico di doppio tumore sincrono del colon e del pancreas. Avendo esaminato attentamente le poche segnalazioni in letteratura, si soffermano sulla incidenza di questa malattia che viene riportata in letteratura con incidenza tra lo 0,06% e lo 0,55%, considerando anche che alcune serie non dimostrano alcuna associazione tra i due neoplasie. Gli autori analizzano il ruolo del follow-up colorettale. In realtà, il follow-up fornisce, un modesto miglioramento della sopravvivenza libera da malattia, però ha consentito un trattamento dei due tumori certamente non avanzati assicurando una buona prognosi al paziente . Infine, gli autori analizzano come l' agoaspirato eco guidato perendoscopico ha reso possibile una diagnosi preoperatoria di un piccolo cancro pancreatico e di mostra che, il valore positivo predittivo(PPV) di questo metodo è del 100%.
Synchronous double cancers of the colon and the pancreas: a case report
LI DESTRI, Giovanni;SCILLETTA, Beniamino;DI CATALDO, Antonio
2014-01-01
Abstract
The authors report a clinical case of a synchronous double cancer of the colon and pancreas. Having carefully examined the scarce literature, they dwell on the inci- dence of this disease referring to frequencies that in the literature range from 0.06% and 0.55% while considering that some series do not show any association between the two neo- plasms. The authors analyze the role of the col- orectal follow-up. In fact, such a follow-up, even if only providing a relative improvement in disease-free survival, has allowed for a treat- ment of the two certainly not-advanced tumors ensuring the patient a good prognosis. Finally, the authors analyze how endoscopic ultra- sound-guided fine-needle aspiration made pos- sible a preoperative diagnosis of small pancre- atic cancer, and show that, the positive predic- tive value (PPV) of this method was 100%.File | Dimensione | Formato | |
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