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The study presented two cases of synchronous occurrence of colon and appendiceal adenocarcinoma. Both patients required surgical intervention, due to acute peritonitis during the course of acute appendicitis. In case of one patient we performed abdominal CT confirming the presence of sigmoid cancer. The patient was subjected to appendectomy and Hartmann’s operation. The second patient underwent an appendectomy, and colonoscopy performed two months later revealed the presence of rectal adenocarcinoma. The patient was subjected to low anterior rectal resection. The histopathological results considering both patients revealed the presence of synchronous colon and appendiceal adenocarcinoma.
EN
The paper presents a case report of coexisting multifocal colorectal cancer and multifocal carcinoid of the small intestine. Our literature review did not demonstrate any report of such case. We emphasize necessity of careful inspection of abdominal cavity during any surgical procedure since small lesions, in particular in the small intestine, may be omitted - as was the case during the initial colectomy in our case. Current epidemiological data are also presented and standards of management for diagnosis and treatment of gastrointestinal carcinoid.
EN
A case of patent who was admitted to the unit because of lung tumor is presented in his report. After receiving the cytological diagnosis of the carcinoma non-microcellulare from biopsy taken during bronchoscopy patient was qualified for operative procedure. Upper left lobectomy was performed. During the histological investigation of postoperative specimen the diagnosis of adenocarcinoma GI was established. Furthermore in subsegmental bronchus small tumor which didn't infiltrate the whole bronchial wall was noticed. The diagnosis of carcinoma planoepitheliale keratodes GII was established. For each cancer I stage of disease was established (pT1N0M0). Postoperative period was uncomplicated. In control X-ray after 3, 6, 9 months cancer recurrence wasn't diagnosed. General condition of patient was very good (WHO 0). Patient return to the complete physical activity.
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