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Pancreatoduodenectomy in Locally Advanced Right Colon Cancer —Case Report and Literature Review
Surgical Oncology Department, IMSS UMAE, Veracruz, Mexico
Clinical Oncology Department, IMSS UMAE, Veracruz, Mexico
Clinical Oncology Department, Centro Oncológico Onkolid, Veracruz, Mexico
Anatomical Pathology Department, IMSS UMAE, Veracruz, Mexico
Radiology Department, Centro Oncológico Onkolid, Veracruz, Mexico
Radiology Department, Centro Oncológico Onkolid, Veracruz, Mexico
Anesthesiology Department, Centro Oncológico Onkolid, Veracruz, Mexico
Anesthesiology Department, IMSS UMAE, Veracruz, Mexico
Radiaton Oncology Department, Centro Oncológico Onkolid, Veracruz, Mexico
- 1 Surgical Oncology Department, IMSS UMAE, Veracruz, Mexico
- 2 Clinical Oncology Department, IMSS UMAE, Veracruz, Mexico
- 3 Clinical Oncology Department, Centro Oncológico Onkolid, Veracruz, Mexico
- 4 Anatomical Pathology Department, IMSS UMAE, Veracruz, Mexico
- 5 Radiology Department, Centro Oncológico Onkolid, Veracruz, Mexico
- 6 Radiology Department, Centro Oncológico Onkolid, Veracruz, Mexico
- 7 Anesthesiology Department, Centro Oncológico Onkolid, Veracruz, Mexico
- 8 Anesthesiology Department, IMSS UMAE, Veracruz, Mexico
- 9 Radiaton Oncology Department, Centro Oncológico Onkolid, Veracruz, Mexico
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Abstract
Background: Pancreatoduodenectomy (PD) associated with colectomy is an uncommon procedure accounting for 2% - 11.5% of all PD, and only 6.2% are due to ascending colon cancer. Aim: Report an uncommon presentation of locally advanced colon cancer meriting an en bloc multi-organic resection describing current recommendations for its treatment. Case Presentation: A 29-year-old woman with a locally advanced right-sided colon cancer with duodenal infiltration treated with an en bloc multi-organic resection by right hemicolectomy with pancreatoduodenectomy and adjuvant chemotherapy. Conclusion: The best therapeutic approach for these patients has not been defined; initial surgical treatment is the most recommended option whenever it is possible to achieve an R0 resection.
KeywordsPancreatoduodenectomyRight Hemicolectomy with PancreatoduodenectomyLocally Advanced Colon CancerLocally Advanced Right-Sided Colon CancerEn Bloc Multi-Organic Resection
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