Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. Oct 24, 2024; 15(10): 1315-1323
Published online Oct 24, 2024. doi: 10.5306/wjco.v15.i10.1315
Nursing of a patient with multiple primary cancers: A case report and review of literature
Di Liu, Sheng-Chao Li
Di Liu, Sheng-Chao Li, Department of Hepatobiliary Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Author contributions: Liu D performed data analysis, contributed analysis tools, and wrote the paper; Li SC conceived and designed the study; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sheng-Chao Li, PhD, Professor, Department of Hepatobiliary Surgery, The Fourth Hospital of Hebei Medical University, No. 169 Tianshan Street, Shijiazhuang 050000, Hebei Province, China. lishengchao@hebmu.edu.cn
Received: March 19, 2024
Revised: August 15, 2024
Accepted: August 23, 2024
Published online: October 24, 2024
Processing time: 194 Days and 4.7 Hours
Abstract
BACKGROUND

Although the occurrence of multiple primary cancers (MPC) is not exceedingly common, it is not rare in clinical practice. In recent years, there has been a notable increase in its incidence. The frequent confusion between MPC and tumor metastasis or recurrence often leads to delays in diagnosis and treatment. This study aimed to enhance understanding of MPC, improve diagnostic accuracy, guide precise clinical treatment, and implement a case management nursing model (CMNM) to facilitate quick patient recovery.

CASE SUMMARY

A 61-year-old female patient presented with persistent upper abdominal pain lasting over 2 months. Gastroscopy revealed the presence of both gastric and duodenal cancers. Following a thorough evaluation, the patient underwent pancreaticoduodenectomy, cholecystectomy, and total gastrectomy. Post-surgery, an individualized case management nursing approach was applied, leading to a successful recovery. Three months after the surgery, follow-up examinations showed no signs of recurrence.

CONCLUSION

The CMNM effectively promoted rapid patient recovery, enhanced the quality of orthopedic nursing services, and accelerated postoperative recovery, ultimately leading to increased patient satisfaction with nursing care.

Keywords: Pancreatic cancer; Twelve finger colon cancer; Gastric cancer; Surgical resection; Case management nursing mode; Case report

Core Tip: Accurate diagnosis of multiple primary cancers, coupled with multidisciplinary collaboration to formulate tailored diagnosis and treatment plans and the implementation of individualized patient care, significantly contributed to rapid recovery and favorable prognosis.