{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:25:59Z","timestamp":1768447559877,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Pancreatic Centre Harris Van Beek Scholarship"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients may present with a resectable pancreatic tumour in the context of a concurrent primary extra\u2010pancreatic malignancy. These patients pose a dilemma regarding their suitability for surgery. We evaluated our experience with such patients who underwent pancreatic resection with curative intent and detailed their outcomes and rationale for surgical decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of patients with pancreatic concurrent extra\u2010pancreatic primary malignancy who underwent pancreatic resection at our institution over a 12\u2010year period (2005\u20132016) was performed. Clinical, histopathological and perioperative outcomes were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten patients with a median age of 74\u2009years (40\u201385\u2009years) were identified. Secondary primary tumours included thyroid (<jats:italic>n<\/jats:italic> = 2), gastrointestinal (<jats:italic>n<\/jats:italic> =\u20094), small bowel neuroendocrine (<jats:italic>n<\/jats:italic> =\u20091), renal (<jats:italic>n<\/jats:italic> =\u20091) and haematological malignancies (<jats:italic>n<\/jats:italic> =\u20092). Pancreatic tumours included pancreatic ductal adenocarcinomas (<jats:italic>n<\/jats:italic> =\u20096), solid pseudopapillary neoplasms (<jats:italic>n<\/jats:italic> =\u20092) and ampullary carcinomas (<jats:italic>n<\/jats:italic> =\u20092). After a median follow up of 41.3 months (31.3\u2013164\u2009months), 8 of 10 patients were still alive. Two patients died due to metastatic disease from the secondary malignancy (small bowel neuroendocrine tumour and sigmoid colon adenocarcinoma). The post\u2010operative complication rate was 30% with no perioperative 90\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Selected patients with a pancreatic and concurrent primary extra\u2010pancreatic malignancy may undergo curative pancreatic resection with favourable outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15651","type":"journal-article","created":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T03:49:15Z","timestamp":1578973755000},"page":"290-294","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pancreatic resection in patients with synchronous extra\u2010pancreatic malignancy: outcomes and complications"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2486-6023","authenticated-orcid":false,"given":"Shreya","family":"Mehta","sequence":"first","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace I.","family":"Tan","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher B.","family":"Nahm","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4263-1017","authenticated-orcid":false,"given":"Terence C.","family":"Chua","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Department of Surgery Logan Hospital, Metro South Health  Logan City Queensland Australia"},{"name":"School of Medicine Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Pearson","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony J.","family":"Gill","sequence":"additional","affiliation":[{"name":"Sydney Medical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Cancer Diagnosis and Pathology Group Kolling Institute, Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaswinder S.","family":"Samra","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit 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