title: Successful one stage operation for a synchronous, duodenal carcinoma, colonic carcinoma and renal oncocytoma in an adult patient.
abstract: We report a rare case of synchronous duodenal carcinoma, colonic carcinoma and renal oncocytoma successfully treated using a one-stage surgical approach. Potential risk factors for multiple primary malignancies associated with duodenal carcinoma are discussed. This case illustrates several practice points for consideration: 1. Patients presenting with small intestinal carcinomas have a higher than average chance of developing second primary tumors in other organs; this should be taken into consideration during staging and follow-up. 2. For full staging of patients presenting with small bowel tumors, upper and lower gastrointestinal endoscopy and PET scanning should be considered. 3. A one-stage surgical procedure can be used safely and successfully for multiple synchronous primary tumors.
authors: American University of Beirut, Medical Centre Department of Surgery, HPB and Liver Transplant Unit, Beirut, Lebanon. wf07@aub.edu.lb
authors: Walid
authors: W
authors: Faraj
authors: Eman
authors: E
authors: Sbaity
authors: Deborah
authors: D
authors: Mukherji
authors: Ashraf
authors: A
authors: Shamseddine
authors: Ali
authors: A
authors: Shamseddine
authors: Mohamed
authors: M
authors: Khalife
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D018249:Adenoma, Oxyphilic / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001652:Bile Ducts / Q000601:surgery; D001706:Biopsy; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000601:surgery*; D009392:Nephrectomy / Q000379:methods*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D049268:Positron-Emission Tomography; D013270:Stomach / Q000601:surgery; D014057:Tomography, X-Ray Computed