Adenosquamous carcinoma of the uncinate process of the pancreas with synchronous gastrointestinal stromal tumor of the stomach: Case report and review of the literature

被引：11

作者：

He, Jin-Jie ^{[1
]}

Ding, Ke-Feng ^{[1
]}

Zheng, Lei ^{[2
]}

Xu, Jing-Hong ^{[3
]}

Li, Jun ^{[1
]}

Wu, Yu-Lian ^{[4
]}

Sun, Li-Feng ^{[1
]}

Zhou, Dong-Er ^{[1
]}

Zheng, Shu ^{[1
]}

机构：

[1] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Surg Oncol, Hangzhou 310009, Zhejiang, Peoples R China

[2] Johns Hopkins Univ, Sol Goldman Pancreat Canc Ctr, Dept Oncol & Surg, Skip Viragh Ctr Pancreat Canc,Sch Med, Baltimore, MD 21231 USA

[3] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Pathol, Hangzhou 310009, Zheijang, Peoples R China

[4] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Gen Surg, Hangzhou 310009, Zheijang, Peoples R China

来源：

ONCOLOGY LETTERS | 2012年 / 4卷 / 06期

关键词：

adenosquamous carcinoma; gastrointestinal stromal tumor; synchronous cancer; uncinate process of the pancreas; CANCER;

D O I：

10.3892/ol.2012.902

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Recently, the coexistence of gastrointestinal stromal tumors (GISTs) with other neoplasms has been studied with increasing frequency. Coexistence of pancreatic cancer with GISTs remains a rarity; however, here, we report a very rare case of adenosquamous carcinoma (ASC) of the uncinate process of the pancreas with synchronous GISTs of the stomach in a 62-year-old female. The patient presented with epigastric discomfort and vomiting. Radiographic imaging revealed two masses; one located at the body of the stomach and the other located at the uncinate process of the pancreas. Intraoperatively, a fine needle aspiration biopsy was conducted in the uncinate process of the pancreas, which revealed the malignancy of the masses. A pancreaticoduodenectomy and partial gastrectomy were then conducted, and subsequent pathological examinations identified an ASC of the pancreas and a GIST of the stomach. In our case, contrary to the majority of previous cases of synchronous GISTs and other malignancies, GIST was not an incidental finding. The initial suspicion on the GIST as the underlying cause of clinical symptoms led to the discovery of the ASC of the uncinate process of the pancreas.

引用

页码：1191 / 1194

页数：4