Giant Gastrointestinal Stromal Tumor Accompanying Stomach Cancer.
10.5230/jkgca.2004.4.1.44
- Author:
Doo Won KIM
1
;
Tae Gil HEO
;
Byoung Jo SUH
;
Hang Jong YOO
;
Me JOO
;
Hye Kyung LEE
;
Jin Pok KIM
Author Information
1. Korea Gastric Cancer Center, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea. gsnum1@medigate.net
- Publication Type:Case Report
- Keywords:
Gastrointestinal stromal tumor;
Gastric adenocarcinoma;
Synchronous occurrence
- MeSH:
Abdomen;
Adenocarcinoma;
Aged;
Gastrectomy;
Gastrointestinal Stromal Tumors*;
Humans;
Lymph Node Excision;
Male;
Pyloric Antrum;
Stomach Neoplasms*;
Stomach*
- From:Journal of the Korean Gastric Cancer Association
2004;4(1):44-47
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of giant malignant gastrointestinal stromal tumor (GIST) accompanying an advanced gastric adenocarcinoma. A 73-year-old male patient was admitted to our hospital due to epigastric discomfort. In gastrofiberscopic examination, a localized Borrmann III gastric cancer at the lower body and antrum was noted. In endoscopic ultrasonographic examination, T3 hyperechoic advanced gastric cancer lesion and a relatively well-marginated heterogenous hypoechoic huge mass with a size of 10 cm were noted. In abdomen CT findings, localized wall thickening in the gastric antrum and the anterior wall, and a 11-cm-sized large heterogeneously enhancing mass in gastric body, posterior wall were noted. We did a radical subtotal gastrectomy, including a huge mass, with D2 lymph node dissection. Pathologic findings revealed double primary gastric neoplasms (synchronous occurrence of an adenocarcinoma and a huge GIST). Although closely juxtaposed, these two tumors had not merged and were separated by the thin rim of the muscularis propria.
