Synchronous Occurrence of a Gastric Adenocarcinoma and a GIST (Gastrointestinal Stromal Tumor): A Case Report.
10.5230/jkgca.2007.7.4.261
- Author:
Sung Bae JEE
1
;
Kyung Jin SEO
;
Hun HEO
;
Hae Myung JEON
Author Information
1. Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. hmjeon@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Synchronous tumor;
Gastrointestinal stromal tumor;
Gastric cancer
- MeSH:
Adenocarcinoma*;
Barium;
Deglutition;
Gastrectomy;
Gastrointestinal Stromal Tumors;
Humans;
Incidence;
Middle Aged;
Stomach;
Stomach Neoplasms;
Tomography, X-Ray Computed
- From:Journal of the Korean Gastric Cancer Association
2007;7(4):261-265
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A gastric adenocarcinoma is the second most common cause of cancer deaths worldwide, but there are some geographical differences in its incidence. A gastrointestinal tumor is an uncommon disease with a wide spectrum of aggressive behavior. These two tumors have a distinct pathogenesis, and synchronous occurrence of an adenocarcinoma and a GIST (gastrointestinal stromal tumor) in the stomach is very rare. We report a case of synchronous occurrence of a gastric adenocarcinoma and GIST in a 64-year-old man. We performed the following tests: barium swallowing test, gastroduodenoscopy, and CT scanning. We performed a total gastrectomy, and a 9 cm-sized GIST at the fundus and a small early gastric cancer at the antrum were confirmed pathologically. Some explanations for this rare case exist, but in our opinion, the synchronous occurrence is a rare but probable event that can happen in an endemic area. We describe a case of synchronous occurrence of a gastric adenocarcinoma and GIST in the stomach, with a review of the literature.
