Turkish Journal of Geriatrics 2010 , Vol 13, Issue 2
SYNCHRONOUS TUMORS OF THE STOMACH: A CASE REPORT OF MIXED GASTROINTESTINAL STROMAL TUMOR AND ADENOCARCINOMA
Mehmet Tahir ORUÇ1, Münevver MORAN1, İsmail BİLGİÇ1, Evren DİLEKTAŞLI1, Levent ALBAYRAK2, Mehmet Mahir ÖZMEN1
1Ankara Numune Eğitim ve Araştırma Hastanesi 7. Cerrahi Kliniği ANKARA
1Ankara Numune Eğitim ve Araştırma Hastanesi Patoloji Kliniği ANKARA
Synchronous or metachronous gastric tumors composed of adenocarcinoma and gastrointestinal stromal tumor (GIST) are very rare and have seldom been reported in the literature. We present a case of an elderly man with synchronous gastric adenocarcinoma and GIST of the stomach. The adenocarcinoma presented as an ulcerated transmural tumor measuring 12 x 11 x 2 cm protruding from the lumen, occurring synchronously or metachronously with a 0.7 cm sized intramural nodular lesion, 1.5 cm proximal to the distal border of the resection, and was diagnosed as a gastrointestinal stromal tumor. The increasing tendency for gastric tumours to be synchronous or metachronous may be due to the change in biological behavior of tumors or causal environmental factors. Whether this association has any effect on survival is yet unknown. The important thing however, is to completely resect the lesions, as in single gastric carcinoma cases. Keywords : Aged; Stomach neoplasms/surgery; Gastrectomy