Early gastric cancer with three gastric gastrointestinal stromal tumors combined with synchronous colon cancer: a case report

World Journal of Surgical Oncology

Dajeong Nam¹  Min A Kwon¹  Kwangwoo Nam²  Sung Chul Lee³  Dong-Wook Kim³ 

[1] Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea;Department of Internal Medicine, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea;Department of Surgery, Dankook University College of Medicine, 201 Manghyangro, Dongnam-gu, 31116, Cheonan, Chungnam, Republic of Korea;

关键词: Colon cancer;    Early gastric cancer;    Gastrointestinal stromal tumor;    Synchronous tumor;   

DOI  :  10.1186/s12957-020-02013-4

来源: Springer

【 摘 要 】

BackgroundThere have been very few reports of patients with early gastric cancer (EGC) and colorectal cancer combined with gastric gastrointestinal stromal tumors (GISTs).Case presentationWe report the case of a patient with multiple tumors that were found at the same time in the abdomen. The patient was a 77-year-old man who was referred for a gastric GIST. Esophagogastroduodenoscopy showed the known lesion (a gastric GIST) on the lesser curvature of the upper body and a new lesion on the lesser curvature of the lower body of the stomach with suspicion of EGC. Computed tomography findings confirmed the presence of a GIST in the stomach and revealed two new lesions. One of these lesions was suspected to be a 4-cm submucosal tumor on the anterior wall of the upper body of the stomach. The other was a wall thickening of the descending colon that demonstrated the possibility of malignancy. Synchronous colon cancer was confirmed on colonoscopy. Laparoscopic near-total gastrectomy with D1+ lymph node dissection and left hemicolectomy were performed sequentially without significant events. The patient was discharged without any postoperative complications.ConclusionsWe reported a rare case of EGC with multiple gastric GISTs combined with synchronous colon cancer.

【 授权许可】

CC BY