Liu Di, Li Sheng-Chao
Department of Hepatobiliary Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China.
World J Clin Oncol. 2024 Oct 24;15(10):1315-1323. doi: 10.5306/wjco.v15.i10.1315.
Although the occurrence of multiple primary cancers (MPC) is not exceedingly common, it is not rare in clinical practice. In recent years, there has been a notable increase in its incidence. The frequent confusion between MPC and tumor metastasis or recurrence often leads to delays in diagnosis and treatment. This study aimed to enhance understanding of MPC, improve diagnostic accuracy, guide precise clinical treatment, and implement a case management nursing model (CMNM) to facilitate quick patient recovery.
A 61-year-old female patient presented with persistent upper abdominal pain lasting over 2 months. Gastroscopy revealed the presence of both gastric and duodenal cancers. Following a thorough evaluation, the patient underwent pancreaticoduodenectomy, cholecystectomy, and total gastrectomy. Post-surgery, an individualized case management nursing approach was applied, leading to a successful recovery. Three months after the surgery, follow-up examinations showed no signs of recurrence.
The CMNM effectively promoted rapid patient recovery, enhanced the quality of orthopedic nursing services, and accelerated postoperative recovery, ultimately leading to increased patient satisfaction with nursing care.
尽管多原发性癌（MPC）的发生并不极为常见，但在临床实践中也并不罕见。近年来，其发病率显著上升。MPC与肿瘤转移或复发之间常常容易混淆，这往往导致诊断和治疗的延误。本研究旨在增进对MPC的认识，提高诊断准确性，指导精准临床治疗，并实施个案管理护理模式（CMNM）以促进患者快速康复。
一名61岁女性患者出现持续2个多月的上腹部疼痛。胃镜检查发现同时患有胃癌和十二指肠癌。经过全面评估后，患者接受了胰十二指肠切除术、胆囊切除术和全胃切除术。术后采用了个体化的个案管理护理方法，患者成功康复。术后3个月的随访检查未发现复发迹象。
CMNM有效促进了患者的快速康复，提高了骨科护理服务质量，加速了术后恢复，最终提高了患者对护理服务的满意度。
