摘要
BACKGROUND The incidence of multiple primary carcinomas(MPC)varies greatly,ranging from 0.73%to 11.70%in foreign countries,with duo-duplex carcinoma being the most common,trio-duplex carcinoma and above being rare,and simultaneous multigenic carcinoma being even rarer,accounting for 18.4%to 25.3%of the incidence of MPC.However,there is no report regarding patients presenting with simultaneous dual-origin carcinoma of the liver and colon and heterochronous pancreatic cancer.CASE SUMMARY We report a special case of multifocal carcinoma,in which one patient had a medical condition of primary liver and colon cancer and pancreatic cystadenocarcinoma 2 years after surgery.Through aggressive advanced fluorescent laparoscopic techniques,standardized immunotherapy,targeting,and chemotherapy,a better prognosis and a desirable survival period were achieved for the patient.CONCLUSION There is a need to clarify the nature of MPC through advanced surgical means to ensure better diagnosis and treatment.
基金
Supported by the Education Project of Yunnan Province,No.2023J767
the High-level Talent Training Support Project of Yunnan Province,No.YNWR-MY-2020-053.