open access

Vol 12, No 2 (2010)
Aktualności
Published online: 2011-02-04
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Metastatic pancreatic cancer found within an inguinal hernial sac: report of two cases

Wojciech Szczęsny, Stanisław Pierściński, Jakub Szmytkowski, Adrian Reśliński, Stanisław Dąbrowiecki
Chirurgia Polska 2010;12(2):118-123.

open access

Vol 12, No 2 (2010)
Aktualności
Published online: 2011-02-04

Abstract

The paper presents two rare cases of metastatic pancreatic cancer found in inguinal hernial sacs of patients undergoing treatment at our center within 3 years. In one of these patients the discovery of the metastasis has led to the diagnosis of the primary focus of the disease, while the other patient had previously undergone a pancreatectomy and had had a diagnosis of pancreatic cancer disease with liver metastases. The available literature data states that hernial sac malignancies have an incidence of below 0.7%, the incidence of metastatic tumors being ten times less. The discovery of a malignant metastatic tumor within a hernial sac is generally considered as proof of dissemination. There is an ongoing discussion among experts as to the relevance of histological evaluation of the removed hernial sacs. This appears justified if macroscopically visible lesions are discovered within the sac, as well as in patients with a history of malignant colorectal disease. It has been suggested that colonoscopy might be indicated in elderly patient with a short history of hernia.

Polish Surgery 2010, 12, 2, 118-123

Abstract

The paper presents two rare cases of metastatic pancreatic cancer found in inguinal hernial sacs of patients undergoing treatment at our center within 3 years. In one of these patients the discovery of the metastasis has led to the diagnosis of the primary focus of the disease, while the other patient had previously undergone a pancreatectomy and had had a diagnosis of pancreatic cancer disease with liver metastases. The available literature data states that hernial sac malignancies have an incidence of below 0.7%, the incidence of metastatic tumors being ten times less. The discovery of a malignant metastatic tumor within a hernial sac is generally considered as proof of dissemination. There is an ongoing discussion among experts as to the relevance of histological evaluation of the removed hernial sacs. This appears justified if macroscopically visible lesions are discovered within the sac, as well as in patients with a history of malignant colorectal disease. It has been suggested that colonoscopy might be indicated in elderly patient with a short history of hernia.

Polish Surgery 2010, 12, 2, 118-123

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Keywords

pancreatic cancer; hernia; metastases; hernial sac

About this article
Title

Metastatic pancreatic cancer found within an inguinal hernial sac: report of two cases

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 12, No 2 (2010)

Pages

118-123

Published online

2011-02-04

Bibliographic record

Chirurgia Polska 2010;12(2):118-123.

Keywords

pancreatic cancer
hernia
metastases
hernial sac

Authors

Wojciech Szczęsny
Stanisław Pierściński
Jakub Szmytkowski
Adrian Reśliński
Stanisław Dąbrowiecki

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