American University of Beirut, Medical Centre Department of Surgery, HPB and Liver Transplant Unit, Beirut, Lebanon.
World J Surg Oncol. 2011 Sep 1;9:99. doi: 10.1186/1477-7819-9-99.
We report a rare case of synchronous duodenal carcinoma, colonic carcinoma and renal oncocytoma successfully treated using a one-stage surgical approach. Potential risk factors for multiple primary malignancies associated with duodenal carcinoma are discussed. This case illustrates several practice points for consideration: 1. Patients presenting with small intestinal carcinomas have a higher than average chance of developing second primary tumors in other organs; this should be taken into consideration during staging and follow-up. 2. For full staging of patients presenting with small bowel tumors, upper and lower gastrointestinal endoscopy and PET scanning should be considered. 3. A one-stage surgical procedure can be used safely and successfully for multiple synchronous primary tumors.
我们报告了一例罕见的十二指肠癌、结肠癌和肾嗜酸细胞瘤同步病例，成功地采用了一期手术治疗。讨论了与十二指肠癌相关的多发性原发性恶性肿瘤的潜在危险因素。该病例说明了几个需要考虑的实践要点：1. 患有小肠癌的患者在其他器官中发生第二原发性肿瘤的机会高于平均水平；在分期和随访期间应考虑到这一点。2. 对于出现小肠肿瘤的患者进行全面分期，应考虑进行上消化道和下消化道内镜检查和 PET 扫描。3. 对于多个同步原发性肿瘤，一期手术可以安全有效地进行。
