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Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz Gastric cancer presentation, Curs Cancer Gastric Abstract Multiple primary tumors can be synchronous when gastric cancer presentation simultaneously or metachronous when detected after a variable time interval. We present the case of a year-old female patient with a history of keratinized squamous cell carcinoma of the cervix, stage T3bNxMx, operated, and treated by chemotherapy and radiation therapy which develops after three years a large cell neuroendocrine carcinoma of the lung detected by imaging. Of major importance in the selection of the optimal therapeutic approach was the accurate determination of the histological type of the metachronous tumor by microscopy and immunohistochemical techniques.
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