Pancreatic Cancer in Lynch Syndrome: A Case Report.

Case reports in pancreatic cancer Pub Date : 2016-05-01 eCollection Date: 2016-01-01 DOI:10.1089/crpc.2016.0007
Madiha Gilani, Charles M Intenzo, Voichita Bar-Ad, Harish Lavu, Ashwin R Sama
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Abstract

Background: In the literature, pancreatic cancer is not frequently acknowledged among the tumors that are considered a part of Lynch Syndrome. Case Presentation: Our case is one of a young man who was found, very early in life, to have pancreatic cancer. His tumor demonstrated germline microsatellite instability, and hence by definition the patient has Lynch syndrome. He responded well to treatment, which included surgery and adjuvant chemotherapy. To date he remains in remission from pancreatic cancer. Conclusion: The rare instances in this case report include: (a) The patient had pancreatic cancer that fulfilled the histopathological and clinical criteria for Lynch syndrome. (b) Pancreatic cancer was diagnosed earlier in our patient than is expected in patients who suffer from pancreatic cancer as a part of Lynch syndrome. (c) Our patient had an excellent response to chemotherapy. He remains in remission to date from pancreatic cancer and is 5 years since his last treatment for this disease.

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胰腺癌合并Lynch综合征1例报告。
背景:在文献中,胰腺癌在被认为是Lynch综合征的一部分的肿瘤中并不常见。病例介绍:我们的病例是一个年轻人,他在生命的早期就被发现患有胰腺癌。他的肿瘤表现出生殖系微卫星不稳定,因此根据定义,患者患有林奇综合征。他对包括手术和辅助化疗在内的治疗反应良好。到目前为止,他的胰腺癌仍处于缓解期。结论:本病例报告的罕见病例包括:(a)患者患有胰腺癌,符合Lynch综合征的组织病理学和临床标准。(b)本例患者胰腺癌的诊断时间早于Lynch综合征患者胰腺癌的诊断时间。我们的病人对化疗有很好的反应。到目前为止,他的胰腺癌仍处于缓解期,距离他最后一次治疗胰腺癌已有5年了。
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