A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma

被引：0

作者：

Valery, Refeno ^{[1
]}

Emile, Hasiniatsy Nomeharisoa Rodrigue ^{[2
]}

Nasandratri, Ramahandrisoa Andriatsihoarana Voahary ^{[3
]}

Manitrala, Ramanampamonjy Rado ^{[4
]}

Herve, Samison Luc ^{[5
]}

Florine, Rafaramino ^{[6
]}

机构：

[1] Prof Zafisaona Gabriel Teaching Hosp, Fac Med Mahajanga, Dept Oncol, Mahajanga, Madagascar

[2] Mil Hosp Antananarivo, Fac Med Antananarivo, Dept Oncol & Palliat Care, Antananarivo, Madagascar

[3] Joseph Ravoahangy Andrianavalona Teaching Hosp An, Fac Med Antananarivo Antananarivo, Dept Oncol, Antananarivo, Madagascar

[4] Joseph Raseta Befelatanana Teaching Hosp Antanana, Fac Med Antananarivo, Dept Gastroenterolgy, Antananarivo, Madagascar

[5] Joseph Ravoahangy Andrianavalona Teaching Hosp An, Fac Med Antananarivo, Dept Visceral Surg, Antananarivo, Madagascar

[6] Fac Med Antananarivo, Antananarivo, Madagascar

来源：

PAN AFRICAN MEDICAL JOURNAL | 2019年 / 34卷

关键词：

Adenocarcinoma; association; stromal tumors; surgery; synchronous; COEXISTENCE; GIST;

D O I：

10.11604/pamj.16/12/2019.34.197.19373

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Gastrointestinal stromal tumors are the most common mesenchymal tumors of the gastrointestinal tract. They are generally considered as solitary tumors. Here we report the case of a 66-year-old man with familial history of digestive cancers, admitted after a 2-months history of gastrointestinal bleeding. Colonoscopy showed a circumferential ulcerated tumor of the sigmoid which was a well differentiated adenocarcinoma on biopsy. Computerized tomography showed only the lesion of the sigmoid. The patient underwent a left colectomy followed by immediate end-to-end anastomosis. Per-operatively, jejunal mass was discovered and a jejunal segmentectomy was performed. Pathologic examination revealed a colic adenocarcinoma pT2N0M0 associated with a low risk stromal tumor of the jejunum CD117+ and DOG-1+. No adjuvant therapy was given. After 64 months of follow-up, the patient showed no evidence of recurrence. Clinicians should be aware of the coexistence of malignancies and carry careful investigations for accurate diagnosis and better patients' prognosis.

引用

页数：7

共 20 条

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