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- Publisher
- Springer Journals
- Copyright
- Copyright © 2018 by Springer Medizin Verlag GmbH, ein Teil von Springer Nature
- Subject
- Medicine & Public Health; Proctology; Colorectal Surgery; Dermatology; Urology; Abdominal Surgery; Oncology
- ISSN
- 0174-2442
- eISSN
- 1615-6730
- DOI
- 10.1007/s00053-018-0248-6
- Publisher site
- See Article on Publisher Site
Abstract
Eine 66-jährige Patientin stellte sich mit einem obstruktiven posthepatischen Ikterus vor. Nach initialem Verdacht auf das Vorliegen eines Pankreaskarzinoms zeigte sich im Staging ein weiterer Tumorprozess im Zökum. Unter der Annahme möglicher synchroner Tumorentitäten mit jeweils kurativem Therapieansatz erfolgten eine Hemikolektomie sowie eine pyloruserhaltende Duodenohemipankreatektomie nach Traverso-Longmire. Histologisch ergab sich jedoch die selten beschriebene Konstellation eines Kolorektalkarzinoms mit einer solitären, synchronen Pankreasmetastase. Als Synopsis der Literatur sollte bei Vorliegen einer Pankreasraumforderung und aktueller oder Vorgeschichte einer malignen Grundkrankheit eine Metastasierung in Betracht gezogen werden. Im Fall einer solitären Metastase eines Kolonkarzinoms ist hierbei eine Metastasektomie möglich, wenn auch bei aktueller Datenlage keine Aussage über den Benefit für den Patienten möglich scheint.
Journal
coloproctology – Springer Journals
Published: Apr 23, 2018