A Rare Case of Colorectal Cancer With Delayed Metastasis to the Duodenum.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastrointestinal Medicine Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI:10.1155/crgm/6679555
Ammad Javaid Chaudhary, Abdulmalik Saleem, Muhammad Shahzil, Nosheen Hafeez, Taher Jamali, Brian Ginnebaugh
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Abstract

Colorectal cancer (CRC) continues to be a significant global health issue contributing to a high mortality rate. Despite advancements in treatment, the risk of recurrence remains due to inherent mutations and the rapid turnover of intestinal mucosa. We present an exceptionally rare case of CRC metastasis to the duodenum in a 42-year-old female who has been compliant with postsurgical surveillance. Despite previous negative surveillance results, elevated CEA levels and a 3-cm mesenteric mass were detected, raising concerns for carcinoma, which was later confirmed by biopsy. The tumor board deemed her ineligible for surgery due to vascular involvement, leading to palliative care and an attempt at neoadjuvant therapy. Vigilant monitoring is crucial for early detection and intervention.

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结直肠癌延迟转移至十二指肠1例。
结直肠癌(CRC)仍然是一个重要的全球健康问题,导致高死亡率。尽管治疗取得了进步,但由于固有的突变和肠黏膜的快速更新,复发的风险仍然存在。我们报告一例罕见的结直肠癌转移至十二指肠的病例,患者为42岁女性,术后随访。尽管之前的监测结果为阴性,但检测到CEA水平升高和3厘米的肠系膜肿块,引起了对癌症的关注,后来通过活检证实了这一点。肿瘤委员会认为她不适合手术,因为血管受累,导致姑息治疗和新辅助治疗的尝试。警惕监测对于早期发现和干预至关重要。
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来源期刊
Case Reports in Gastrointestinal Medicine
Case Reports in Gastrointestinal Medicine GASTROENTEROLOGY & HEPATOLOGY-
自引率
0.00%
发文量
33
审稿时长
14 weeks
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