Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report

Gastrointestinal stromal tumors (GISTs) represent the majority of primary mesenchymal tumors of the gastrointestinal tract. They are generally considered to be solitary tumors and therefore the synchronous occurrence with other primary malignancies of gastrointestinal track is considered a rare even...

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Main Authors: Thivi Vasilakaki, Kalliroi Koulia, Aikaterini Tsavari, Elissavet Arkoumani, Efstratios Kouroumpas, Anargiros Pavlis, Georgios Christopoulos, Konstantinos Stamatiou, Kassiani Manoloudaki, Dimitrios Zisis
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2014/305848
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author Thivi Vasilakaki
Kalliroi Koulia
Aikaterini Tsavari
Elissavet Arkoumani
Efstratios Kouroumpas
Anargiros Pavlis
Georgios Christopoulos
Konstantinos Stamatiou
Kassiani Manoloudaki
Dimitrios Zisis
author_facet Thivi Vasilakaki
Kalliroi Koulia
Aikaterini Tsavari
Elissavet Arkoumani
Efstratios Kouroumpas
Anargiros Pavlis
Georgios Christopoulos
Konstantinos Stamatiou
Kassiani Manoloudaki
Dimitrios Zisis
author_sort Thivi Vasilakaki
collection DOAJ
description Gastrointestinal stromal tumors (GISTs) represent the majority of primary mesenchymal tumors of the gastrointestinal tract. They are generally considered to be solitary tumors and therefore the synchronous occurrence with other primary malignancies of gastrointestinal track is considered a rare event. Here we present the case of a 75-year-old man admitted to our hospital with a 10-day history of gastrointestinal bleeding. Colonoscopy revealed an ulcerative mass of 4 cm in diameter in the ascending colon. Gastroscopy revealed a bulge in the gastric body measuring 1 cm in diameter with normal overlying mucosa. Surgical intervention was suggested and ileohemicolectomy with regional lymph node resection along with gastric wedge resection was performed. Pathologic examination of the ascending colon mass showed an invasive moderately differentiated adenocarcinoma stage III B (T3N1M0). Grossly resected wedge of stomach showed a well circumscribed intramural tumor which microscopically was consistent with essentially benign gastrointestinal stromal tumor (according to Miettinen criteria). The patient did not receive additional treatment. Two years later the patient showed no evidence of recurrence or metastasis.
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spelling doaj-art-0e072f3496854ced8e1f6dcbffda45dc2025-02-03T06:11:28ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/305848305848Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case ReportThivi Vasilakaki0Kalliroi Koulia1Aikaterini Tsavari2Elissavet Arkoumani3Efstratios Kouroumpas4Anargiros Pavlis5Georgios Christopoulos6Konstantinos Stamatiou7Kassiani Manoloudaki8Dimitrios Zisis9Department of Pathology, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Pathology, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Pathology, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Pathology, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Surgery, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Surgery, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Surgery, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Surgery, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Pathology, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceDepartment of Gastroenterology, “Tzaneion” General Hospital of Piraeus, 1 Afendouli Avenue, 18536 Piraeus, GreeceGastrointestinal stromal tumors (GISTs) represent the majority of primary mesenchymal tumors of the gastrointestinal tract. They are generally considered to be solitary tumors and therefore the synchronous occurrence with other primary malignancies of gastrointestinal track is considered a rare event. Here we present the case of a 75-year-old man admitted to our hospital with a 10-day history of gastrointestinal bleeding. Colonoscopy revealed an ulcerative mass of 4 cm in diameter in the ascending colon. Gastroscopy revealed a bulge in the gastric body measuring 1 cm in diameter with normal overlying mucosa. Surgical intervention was suggested and ileohemicolectomy with regional lymph node resection along with gastric wedge resection was performed. Pathologic examination of the ascending colon mass showed an invasive moderately differentiated adenocarcinoma stage III B (T3N1M0). Grossly resected wedge of stomach showed a well circumscribed intramural tumor which microscopically was consistent with essentially benign gastrointestinal stromal tumor (according to Miettinen criteria). The patient did not receive additional treatment. Two years later the patient showed no evidence of recurrence or metastasis.http://dx.doi.org/10.1155/2014/305848
spellingShingle Thivi Vasilakaki
Kalliroi Koulia
Aikaterini Tsavari
Elissavet Arkoumani
Efstratios Kouroumpas
Anargiros Pavlis
Georgios Christopoulos
Konstantinos Stamatiou
Kassiani Manoloudaki
Dimitrios Zisis
Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report
Case Reports in Oncological Medicine
title Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report
title_full Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report
title_fullStr Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report
title_full_unstemmed Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report
title_short Synchronous Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma: A Case Report
title_sort synchronous gastric gastrointestinal stromal tumor and colon adenocarcinoma a case report
url http://dx.doi.org/10.1155/2014/305848
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