Management of synchronous tumours of the oesophagus and pancreatic head: a novel approach

Synchronous tumours of the oesophagus and pancreatic head are very rare. This report describes a unique case of an adenocarcinoma of the distal oesophagus and a neuroendocrine tumour of the pancreatic head diagnosed synchronously but successfully managed metachronously. Initially, the patient underw...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2011-09, Vol.93 (6), p.e111-e113
Main Authors: Gyorki, D E, Clarke, N E, Hii, M W, Banting, S W, Cade, R J
Format: Article
Language:English
Subjects:
Adenocarcinoma - surgery
Esophageal cancer
Esophageal Neoplasms - surgery
Esophagectomy - methods
Humans
Male
Middle Aged
Neoplasms, Multiple Primary - surgery
Online Case Report
Pancreatic cancer
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy - methods
Tumors
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Summary:Synchronous tumours of the oesophagus and pancreatic head are very rare. This report describes a unique case of an adenocarcinoma of the distal oesophagus and a neuroendocrine tumour of the pancreatic head diagnosed synchronously but successfully managed metachronously. Initially, the patient underwent an oesophagectomy, with a colonic reconstruction following some months later by pylorus-preserving pancreaticoduodenectomy. A staged resection was performed after a review of the literature suggested increased morbidity with synchronous major abdominal operations.
ISSN:0035-8843
1478-7083
DOI:10.1308/147870811X591675