This journal is
indexed in Scopus
Year 2018 Vol. 26 No 5
I.V. RESHETOV, I.I. BYKOV, A.A. SHEVALGIN, YU.S. KUROCHKINA, T.P. NEKRASOVA, M.S. MIKEROVA
SYNCHRONOUS PRIMARY-MULTIPLE MALIGNANT TUMOR: BIFENOTYPIC SYNONASAL SARCOMA AND COLORECTAL CANCER
I.M. Sechenov First Moscow State Medical University, Moscow,
The Russian Federation
Primary-multifocal malignant tumors hold a specific place in oncology. Present case report describes the combination of two neoplastic processes with different anatomic localization, the analogues to which have not been found either in the domestic literature or foreign sources.
The article presents the case of a synchronous primary-multiple malignant neoplasm – malignant tumor from the membranes of the peripheral nerves of the nasal cavity with expansion into the right maxillary sinus, the cells of the ethmoidal sinus Ò2bN0M0 and moderately differentiated adenocarcinoma of the sigmoid colon Ò4àN0M0. Physical examination and positron emission tomography combined with the computed tomography confirmed a hypervascular tumor of the posterior cells of the ethmoidal sinus and a nasal cavity without hypermetabolism and the circular tumor of the sigmoid colon with hypermetabolism. Taking into account the primary-multiple character of the lesion and the clinic of intestinal obstruction, a tactic of the treatment was a combined surgery – the removal of the neoplasm of the nasal cavity with resection of the right maxillary sinus with microsurgical technique and a reconstructive-plastic component using a coronary access, laparotomy, resection of the sigmoid colon, lymphadenectomy. The chosen treatment allowed eliminating both of the tumors in a short time and moving on to a further stage of treatment. The patient is under the supervision, there is no recurrence of the disease at the moment.
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119991, Russian Federation,
Moscow, Trubetskaya str., 8-2,
I.M. Sechenov First Moscow
State Medical University,
Department of Public Health
And Healthcare Named after N.A. Semashko,
Tel. +7 915 225 86 89,
Maria S. Mikerova
Reshetov Igor V., MD, Academician of RAS, Professor, Head of the Department of Oncology and Reconstructive Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Bykov Igor I., PhD, Oncologist, Oncologic Surgery Unit of Combined Treatment Methods, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Shevalgin Alexandr A., Oncologist, Oncologic Surgery Unit of Combined Treatment Methods, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Kurochkina Juliya S., Oncologist, Oncologic Surgery Unit of Combined Treatment Methods, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Nekrasova Tatiyana P., PhD, Associate Professor of the Department of Pathological Anatomy named after Academician A.I. Strukov, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Mikerova Maria S., PhD, Associate Professor of the Department of Public Health and Healthcare named after N.A. Semashko, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.