Synchronous manifestation of colorectal cancer and intraductal papillary mucinous neoplasms  

作　　者：Milko Bozhidarov Mirchev Irina Boeva Monika Peshevska-Sekulovska Veselin Stoitsov Milena Peruhova 

机构地区：[1]Department of Gastroenterology,Heart and Brain Hospital,Burgas 8000,Bulgaria [2]Department of Gastroenterology,University Hospital Lozenetz,Sofia 1407,Bulgaria

出　　处：《World Journal of Clinical Cases》2023年第15期3408-3417,共10页世界临床病例杂志

摘　　要：High rates of extrapancreatic malignancies,in particular colorectal cancer(CRC),have been detected in patients with intraductal papillary mucinous neoplasm(IPMN).So far,there is no distinct explanation in the literature for the development of secondary or synchronous malignancies in patients with IPMN.In the past few years,some data related to common genetic alterations in IPMN and other affiliated cancers have been published.This review elucidated the association between IPMN and CRC,shedding light on the most relevant genetic alterations that may explain the possible relationship between these entities.In keeping with our findings,we suggested that once the diagnosis of IPMN is made,special consideration of CRC should be undertaken.Presently,there are no specific guidelines regarding colorectal screening programs for patients with IPMN.We recommend that patients with IPMNs are at high-risk for CRC,and a more rigorous colorectal surveillance program should be implemented.

关 键 词：Colorectal cancer Intraductal papillary mucinous neoplasm Genetic alterations Extrapancreatic malignancies Synchronous neoplasms 

分 类 号：R735.34[医药卫生—肿瘤]