Synchronous Adenocarcinomas of Jejunum: A Case Report

Authors

  • Teerawut Rakchob Department of Surgery, Buriram Hospital, Buriram

Keywords:

Adenocarcinoma, Jejunum, Synchronous

Abstract

Small bowel adenocarcinoma is a rare cancer. The standard treatment is surgical resection with free surgical margins. We report a case of synchronous, multiple adenocarcinoma of jejunum, in which curative resection was performed and adjuvant chemotherapy after surgery was given. The patient was a 49-year-old man who presented with abdominal pain for one month. Abdominal computer tomography (CT) revealed a segment of irregularly-shaped proximal jejunum with mucosal thickening, suggestive of small bowel carcinoma. The patient underwent proximal jejunal resection with negative resection margins. Pathological examination showed poorly differentiated adenocarcinoma at two separate locations, with invasion to the serosa as well as angiolymphatic invasion. There was no regional lymph node metastasis. The patient was received adjuvant treatment with Fluoropyrimidine based chemotherapy. After a follow up of 8 months, there was no evidence of tumor recurrence or metastasis. Synchronous small bowel carcinoma is a rare condition. Curative treatment is primarily a segmental resection with negative margins, with adjuvant chemotherapy for improved outcome. The diagnosis requires a high index of suspicion.

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vol42no1

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Published

2021-03-30

How to Cite

1.
Rakchob T. Synchronous Adenocarcinomas of Jejunum: A Case Report. Thai J Surg [Internet]. 2021 Mar. 30 [cited 2024 Nov. 22];42(1):28-32. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/244122

Issue

Vol. 42 No. 1 (2021): January - March

Section

Case Reports

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.