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A Rare Presentation of Metastasis of Prostate Adenocarcinoma to the Stomach and Rectum
Soe, Aye Min,Bordia, Sonal,Xiao, Philip Q.,Lopez-Morra, Hernan,Tejada, Juan,Atluri, Sreedevi,Krishnaiah, Mahesh The Korean Gastric Cancer Association 2014 Journal of gastric cancer Vol.14 No.4
Prostate cancer is the second most common cause of cancer death in men in the United States. The most common sites of metastasis include the bone, lymph nodes, lung, liver, pleura, and adrenal glands, whereas metastatic prostate cancer involving the gastrointestinal tract has been rarely reported. A 64-year-old African-American man with a history of prostate cancer presented with anemia. He reported the passing of dark colored stools but denied hematemesis or hematochezia. Colonoscopy revealed circumferential nodularity, and histology demonstrated metastatic carcinoma of the prostate. Esophagogastroduodenoscopy showed hypertrophic folds in the gastric fundus, and microscopic examination revealed tumor cells positive for prostate-specific antigen. Bone scanning and computed tomography of the abdomen and pelvis did not show metastasis. It is crucial to distinguish primary gastrointestinal cancer from metastatic lesions, especially in patients with a history of cancer at another site, for appropriate management.
A Rare Presentation of Metastasis of Prostate Adenocarcinoma to the Stomach and Rectum
Aye Min Soe,Sonal Bordia,Philip Q Xiao,Hernan Lopez-Morra,Juan Tejada,Sreedevi Atluri,Mahesh Krishnaiah 대한위암학회 2014 Journal of gastric cancer Vol.14 No.4
Prostate cancer is the second most common cause of cancer death in men in the United States. The most common sites of metastasis include the bone, lymph nodes, lung, liver, pleura, and adrenal glands, whereas metastatic prostate cancer involving the gastrointestinal tract has been rarely reported. A 64-year-old African-American man with a history of prostate cancer presented with anemia. He reported the passing of dark colored stools but denied hematemesis or hematochezia. Colonoscopy revealed circumferential nodularity, and histology demonstrated metastatic carcinoma of the prostate. Esophagogastroduodenoscopy showed hypertrophic folds in the gastric fundus, and microscopic examination revealed tumor cells positive for prostate-specific antigen. Bone scanning and computed tomography of the abdomen and pelvis did not show metastasis. It is crucial to distinguish primary gastrointestinal cancer from metastatic lesions, especially in patients with a history of cancer at another site, for appropriate management.
( Bo Bo Htay ),( Myat Su Mon Soe ),( Aye Min San ),( Myo Myat Thu ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Biliary obstruction due to chronic pancreatitis is not uncommon. Moreover, the patients with chronic pancreatitis sometimes have biliary stones diseases. The pain due to chronic pancreatitis need to be addressed while treating biliary obstruction. Biliary and pancreatic stenting in these conditions require repeated changing of the stents with multiple admissions, and the long-term success rate is low. Methods: This is a retrospective analysis of five cases of chronic pancreatitis with benign biliary obstruction. Pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction were performed in all patients. Four patients had pancreatic duct dilatation with stones, and cystic dilatation of the duct with distal CBD compression in pancreatic head region found in one patient. Longitudinal pancreaticojejunostomy performed in four patients, and distal pancreatectomy and end-to-side pancreaticojejunostomy done in one patient. Biliary stricture due to chronic pancreatitis was found in three patients, and multiple stones in both intra and extrahepatic ducts found in one patient whom additional subcutaneous access loop was created for future removal of stones. Results: The recovery of all patients was uneventful and no complication such as leakage and digestive tract obstruction occurred in the postoperative period. All patients did not complaint of pain during follow-up visits. One patient needed read mission to medical ward for pancreatic endocrine insufficiency. Conclusions: Surgery is the best option for chronic pancreatitis with biliary obstruction. For the good-risk patients and for the patients with failed endoscopic procedures, double Roux-en-Y digestive tract reconstruction is effective alternative surgical treatment modality where Frey procedure is not appropriate.