Early gastric cancer with three gastric gastrointestinal stromal tumors combined with synchronous colon cancer: a case r
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(2020) 18:231
CASE REPORT
Open Access
Early gastric cancer with three gastric gastrointestinal stromal tumors combined with synchronous colon cancer: a case report Sung Chul Lee1, Kwangwoo Nam2, Dajeong Nam3, Min A. Kwon3 and Dong-Wook Kim1*
Abstract Background: There have been very few reports of patients with early gastric cancer (EGC) and colorectal cancer combined with gastric gastrointestinal stromal tumors (GISTs). Case presentation: We 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. Conclusions: We reported a rare case of EGC with multiple gastric GISTs combined with synchronous colon cancer. Keywords: Colon cancer, Early gastric cancer, Gastrointestinal stromal tumor, Synchronous tumor
Background The incidence of various primary cancers has increased owing to the increasing age of society and advances in diagnostic imaging technology [1, 2]. In Korea, an organized screening system has significantly improved the prognosis of patients with cancer, especially those with gastrointestinal tract cancer [3]. Synchronous cancers have often been found incidentally during the establishment of a precise diagnosis. The most common synchronous neoplasm is gastric cancer associated with colorectal cancer, and it accounts for 20.1–37.2% of all synchronous cancers [4–6]. There have been numerous reports of simultaneous gastric * Correspondence: [email protected] 1 Department of Surgery, Dankook University College of Medicine, 201 Manghyangro, Dongnam-gu, Cheonan 31116, Chungnam, Republic of Korea Full list of author information is available at the end of the article
and colorectal cancers [7–9]. However, there have been very few reports of patients with gastric and colorectal cancer combined with gastric gastrointestinal stromal tumors (GISTs). We present a rare case of early gastric cancer (EGC) with three gastric GISTs combined with synchronous colon cancer. We review the relevant literature and discuss the feasible methods of treatment in such cases.
Case presentation The patient was a 77-year-old man who was admitted to our institution due to a gastric GIST detected at a local hospital. The patient fi
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