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A case report of rectal adenocarcinoma with intrahepatic cholangiocarcinoma of the liver
- Source :
- Journal of International Medical Research, Vol 47 (2019), The Journal of International Medical Research
- Publication Year :
- 2019
- Publisher :
- SAGE Publications, 2019.
-
Abstract
- Objective In this case report, we describe our experience with a patient who was treated for rectal adenocarcinoma complicated with primary cholangiocarcinoma of the liver and highlight the problems in the diagnosis and treatment of these potentially fatal lesions. Methods In the clinical setting, we often use the concept of “monism” for diagnosis and treatment. In this report, we review the diagnosis and treatment of rectal adenocarcinoma complicated with primary cholangiocarcinoma of the liver. Results Four months after surgery, the patient’s carbohydrate antigen 19-9 level was elevated, and positron emission tomography/computed tomography showed multiple liver metastases. The patient underwent three rounds of transarterial chemoembolisation and two rounds of radiofrequency ablation at our hospital for recurrent hepatocellular carcinoma. The clinical response was poor and indicative of progression of intrahepatic lesions. Conclusion A preoperative multidisciplinary team, rapid intraoperative pathological examination, and active comprehensive postoperative treatment are necessary to improve the prognosis of multiple primary tumours.
- Subjects :
- rectal adenocarcinoma
Male
Medicine (General)
medicine.medical_specialty
Case Reports
Adenocarcinoma
030230 surgery
Biochemistry
Gastroenterology
Cholangiocarcinoma
03 medical and health sciences
R5-920
0302 clinical medicine
intrahepatic cholangiocarcinoma
Fluorodeoxyglucose F18
Internal medicine
medicine
Rectal Adenocarcinoma
Humans
Intrahepatic Cholangiocarcinoma
transarterial chemoembolisation
Rectal Neoplasms
business.industry
Liver Neoplasms
Biochemistry (medical)
Multiple primary tumours
Cell Biology
General Medicine
Middle Aged
carbohydrate antigen 19-9
Magnetic Resonance Imaging
liver metastasis
030220 oncology & carcinogenesis
business
Subjects
Details
- ISSN :
- 14732300 and 03000605
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Journal of International Medical Research
- Accession number :
- edsair.doi.dedup.....8baf732d14ef6714fce9653284fc0282