Abstract
We treated a case of synchronous double cancer involving the pancreas and the liver in a patient with duodenal carcinoid. A 78-year-old man was diagnosed with duodenal carcinoid. The preoperative evaluation revealed a 1.2-cm-diameter duodenal carcinoid lesion located opposite the papilla ; there were no metastatic lymph nodes or distant metastases. At laparotomy, a small induration of the pancreatic head and a white nodule in the liver were found. As the intraoperative findings showed a lymph node and liver metastasis of the carcinoid, the patient had a pancreatoduodenectomy and an S4 segmentectomy of the liver. The histological examination showed that the induration of the pancreas was an adenocarcinoma, and that the liver nodule was hepatocellular carcinoma. Curative surgery was undertaken. Generally, gastrointestinal carcinoid lesions are associated with other malignancies. Nevertheless, case reports on multiple cancers with carcinoid are still rare. We describe this case and discuss the literature.
