دورية أكاديمية

[Surgical Resection as Local Therapy for Sister Mary Joseph's Nodule Due to Pancreatic Tail Cancer].

التفاصيل البيبلوغرافية
العنوان: [Surgical Resection as Local Therapy for Sister Mary Joseph's Nodule Due to Pancreatic Tail Cancer].
المؤلفون: Watanabe K; Division of General and Gastroenterological Surgery(Omori), Dept. of Surgery, Toho University Faculty of Medicine., Kimura K, Mizoguchi T, Ikeda Y, Matsumoto Y, Ito Y, Maeda T, Ishii J, Tochigi N, Shibuya K, Otsuka Y, Funahashi K
المصدر: Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2023 Mar; Vol. 50 (3), pp. 390-392.
نوع المنشور: Case Reports; English Abstract; Journal Article
اللغة: Japanese
بيانات الدورية: Publisher: Gan To Kagaku Ryohosha Country of Publication: Japan NLM ID: 7810034 Publication Model: Print Cited Medium: Print ISSN: 0385-0684 (Print) Linking ISSN: 03850684 NLM ISO Abbreviation: Gan To Kagaku Ryoho Subsets: MEDLINE
أسماء مطبوعة: Publication: Tokyo : Gan To Kagaku Ryohosha
Original Publication: Tōkyō, Gan to Kagaku Ryōhōsha [1974?]-
مواضيع طبية MeSH: Sister Mary Joseph's Nodule*/surgery , Sister Mary Joseph's Nodule*/diagnosis , Pancreatic Neoplasms*/drug therapy , Pancreatic Neoplasms*/surgery , Pancreatic Neoplasms*/diagnosis, Humans ; Female ; Aged ; Umbilicus/pathology ; Pancreas/pathology ; Pancreatic Neoplasms
مستخلص: We experienced a case of resection of a metastatic umbilical tumor(Sister Mary Joseph's nodule: SMJN)derived from a pancreatic tail carcinoma. The patient was a 70-year-old woman. She visited her previous doctor with a chief complaint of lower abdominal pain and came to our hospital due to suspicion of pancreatic tail cancer. She was found to have metastases to multiple organs which was unresectable by surgery. After chemotherapy up to the second-line of treatment, she was diagnosed to have progressive disease. The decision was made to provide the best supportive care for the patient. Thereafter, the patient developed SMJN. She had hemorrhage from the tumor accompanied by body movement, and her activity of daily living became impaired. She had difficulty controlling the bleeding despite repeated hemostatic treatment at the outpatient clinic and at her home. However, she required frequent blood transfusions for her severe anemia. Therefore, we performed a resection of the SMJN to control bleeding and to relieve her symptoms. She had a good postoperative course and was discharged on the fifth postoperative day. Due to deterioration of her general condition, she expired on the 59th day after surgery. However, the patient was able to live at home without bleeding or pain by the umbilical tumor. The local resection was considered to be useful as a palliative surgical treatment for SMJN.
تواريخ الأحداث: Date Created: 20230317 Date Completed: 20230320 Latest Revision: 20231213
رمز التحديث: 20231215
PMID: 36927919
قاعدة البيانات: MEDLINE