A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report
Abstract Background The synchronous colorectal malignancy is well described in the literature but combination of pancreatic incidentaloma with sigmoid cancer has not been well described and the association has not been described in syndrome. Case presentation A 65-year-old man from the Indian subcon...
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s13256-018-1778-9 |
| _version_ | 1811276940099715072 |
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| author | P. J. Halder Swapnil Sharma Nikhil S |
| author_facet | P. J. Halder Swapnil Sharma Nikhil S |
| author_sort | P. J. Halder |
| collection | DOAJ |
| description | Abstract Background The synchronous colorectal malignancy is well described in the literature but combination of pancreatic incidentaloma with sigmoid cancer has not been well described and the association has not been described in syndrome. Case presentation A 65-year-old man from the Indian subcontinent with a history of abdominal pain with loss of appetite, and with a history of bleeding per rectum and altered bowel habits presented to our hospital. An abdominal examination revealed a palpable mass in the region of his epigastrium and left hypochondrium, and a rectal examination was normal. A work-up included blood investigations, an abdominal contrast-enhanced computed tomography scan, a colonoscopy, and a positron emission tomography/computed tomography scan. He was managed by simultaneous distal pancreaticosplenectomy and radical sigmoidectomy. The final histopathology results were suggestive of moderately differentiated adenocarcinoma of the sigmoid colon with serous cystadenoma of the pancreas. Conclusions The synchronous sigmoid colon cancer and pancreatic cystic incidentaloma is a rare presentation, which, to the best of our knowledge, has not been reported in the literature. We report the surgical management of this case and present a review of the literature. Genetic studies may be conducted to find out whether there is common genetic mutation resulting in these two malignancies, and may be helpful in screening programs. |
| first_indexed | 2024-04-13T00:06:45Z |
| format | Article |
| id | doaj.art-447e840e77ef430e83c5e6d207d39cc0 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-13T00:06:45Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-447e840e77ef430e83c5e6d207d39cc02022-12-22T03:11:12ZengBMCJournal of Medical Case Reports1752-19472018-08-011211410.1186/s13256-018-1778-9A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case reportP. J. Halder0Swapnil Sharma1Nikhil S2Department of Surgical Gastroenterology and HPB Surgery, Jagjivan Ram HospitalDNB Surgical Gastroenterology, Jagjivan Ram HospitalDepartment of Surgical Gastroenterology and HPB Surgery, Jagjivan Ram HospitalAbstract Background The synchronous colorectal malignancy is well described in the literature but combination of pancreatic incidentaloma with sigmoid cancer has not been well described and the association has not been described in syndrome. Case presentation A 65-year-old man from the Indian subcontinent with a history of abdominal pain with loss of appetite, and with a history of bleeding per rectum and altered bowel habits presented to our hospital. An abdominal examination revealed a palpable mass in the region of his epigastrium and left hypochondrium, and a rectal examination was normal. A work-up included blood investigations, an abdominal contrast-enhanced computed tomography scan, a colonoscopy, and a positron emission tomography/computed tomography scan. He was managed by simultaneous distal pancreaticosplenectomy and radical sigmoidectomy. The final histopathology results were suggestive of moderately differentiated adenocarcinoma of the sigmoid colon with serous cystadenoma of the pancreas. Conclusions The synchronous sigmoid colon cancer and pancreatic cystic incidentaloma is a rare presentation, which, to the best of our knowledge, has not been reported in the literature. We report the surgical management of this case and present a review of the literature. Genetic studies may be conducted to find out whether there is common genetic mutation resulting in these two malignancies, and may be helpful in screening programs.http://link.springer.com/article/10.1186/s13256-018-1778-9Pancreatic incidentalomaSerous cystadenoma pancreasSigmoid carcinoma |
| spellingShingle | P. J. Halder Swapnil Sharma Nikhil S A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report Journal of Medical Case Reports Pancreatic incidentaloma Serous cystadenoma pancreas Sigmoid carcinoma |
| title | A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report |
| title_full | A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report |
| title_fullStr | A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report |
| title_full_unstemmed | A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report |
| title_short | A left-sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma: a case report |
| title_sort | left sided cystic pancreatic incidentaloma with sigmoid colon adenocarcinoma a case report |
| topic | Pancreatic incidentaloma Serous cystadenoma pancreas Sigmoid carcinoma |
| url | http://link.springer.com/article/10.1186/s13256-018-1778-9 |
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