We herein present the case of a 78-year-old man with an incidental finding of a solid hepatic mass without symptoms and only a laparotomic cholecystectomy for acute cholecystitis in the past surgical history. A colonoscopy, a magnetic resonance imaging scan, a positron emission tomography scan, and a computed tomography scan completed the preoperative workup: a neoplastic lesion 4.3 × 3 cm in size was diagnosed at segments IV and V, associated with a neoplastic involvement of the splenic flexure without signs of colonic occlusion. After colonic resection, a frozen section on a granulomatous-like tissue at gastric border suggested a diagnosis of an adenocarcinoma of bilio-pancreatic type, changing the surgical strategy to include gastric resection and hepatic pedicle node dissection. The discussion turns around the idea that a final diagnosis of colon cancer with regional nodal involvement (pT3N1) and metastatic gallbladder cancer with multiple peritoneal seedings cannot be excluded. © 2014 Portolani et al.; licensee BioMed Central Ltd.
CITATION STYLE
Portolani, N., Baiocchi, G., Baronchelli, C., Gheza, F., & Giulini, S. M. (2014). Multiple primary malignancies of the liver and the colon: A complex diagnostic and decisional process with a final unanswered question. World Journal of Surgical Oncology, 12(1). https://doi.org/10.1186/1477-7819-12-75
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