{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T19:40:43Z","timestamp":1786390843876,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pancreatic ductal adenocarcinoma (PDAC) has a dismal prognosis, with most patients presenting with advanced disease. Surgical resection remains the only potentially curative option, yet recurrence rates are high.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>We present a rare case of metachronous primary pancreatic neuroendocrine tumor (PanNET) and PDAC in a 71\u2010year\u2010old female. Initial management of stage IA PanNET (pT1N0M0) involved pancreatoduodenectomy (Whipple procedure) in 2022. One year later, the patient developed primary PDAC (pT2N1M0, stage IIB) in the remnant pancreas and was treated with completion pancreatectomy. Postoperative complications (reactive thrombocytosis and type 3c diabetes) precluded adjuvant chemotherapy. Subsequent hepatic progression was controlled for 12\u2009months with first\u2010line gemcitabine before progression necessitated second\u2010line irinotecan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the challenges of managing sequential primary pancreatic malignancies, the impact of total pancreatectomy complications on therapeutic options, and the potential for disease control with sequential systemic therapy even after aggressive recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cnr2.70595","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:14:56Z","timestamp":1780636496000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Metachronous Primary Pancreatic Neuroendocrine Tumor and Adenocarcinoma: A Case Report"],"prefix":"10.1002","volume":"9","author":[{"given":"Anastasia S.","family":"Fatyanova","sequence":"first","affiliation":[{"name":"Sechenov University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Kalinina","sequence":"additional","affiliation":[{"name":"Sechenov University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina F.","family":"Islamova","sequence":"additional","affiliation":[{"name":"Sechenov University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor O.","family":"Shchekoturov","sequence":"additional","affiliation":[{"name":"Sechenov University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia V.","family":"Lerner","sequence":"additional","affiliation":[{"name":"Sechenov University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadezhda A.","family":"Stashevskaya","sequence":"additional","affiliation":[{"name":"RUDN University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Burko","sequence":"additional","affiliation":[{"name":"Synergy University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9130-3255","authenticated-orcid":false,"given":"Ilias","family":"Miltiadis","sequence":"additional","affiliation":[{"name":"Department of Biomedicine Neuroscience and Advanced Diagnostics (BIND), University of Palermo  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201017875\u20106"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2023.08.009"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2021.0017"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.20.01364"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.13027"},{"key":"e_1_2_12_8_1","unstructured":"SEER [Internet] \u201cCancer of the Pancreas \u2013 Cancer Stat Facts \u201dhttps:\/\/seer.cancer.gov\/statfacts\/html\/pancreas.html."},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15041101"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1809775"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.21886\/2712\u20108156\u20102023\u20104\u20103\u2010114\u2010123"},{"key":"e_1_2_12_12_1","first-page":"1359","article-title":"Multiple Primary Malignant Tumors. 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