scholarly journals Early gastric cancer with three gastric gastrointestinal stromal tumors combined with synchronous colon cancer: A case report

2020 ◽  
Author(s):  
Sung Chul Lee ◽  
Kwangwoo Nam ◽  
Dong-Wook Kim

Abstract Background: This study presented a rare case of early gastric cancer (EGC) with multiple gastric gastrointestinal stromal tumors (GISTs) combined with synchronous colon cancer and to discuss the progress of treatment in this disease.Case presentation: We report our experience with a case of multiple tumors, which 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 high body and a new lesion on the lesser curvature of the low body with suspicion of EGC. A computed tomographic scan confirmed the presence of a GIST in the stomach and revealed two new lesions. One was suspected to be a 4 cm submucosal tumor on the anterior wall of the high body of the stomach. The other was a wall thickening of the descending colon, which demonstrated the possibility of malignancy. Colonoscopy confirmed synchronous colon cancer. 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 report the case of a rare patient with EGC with multiple gastric GISTs combined with synchronous colon cancer.

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Sung Chul Lee ◽  
Kwangwoo Nam ◽  
Dajeong Nam ◽  
Min A Kwon ◽  
Dong-Wook Kim

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.


2020 ◽  
Author(s):  
Sung Chul Lee ◽  
Kwangwoo Nam ◽  
Dajeong Nam ◽  
Min A Kwon ◽  
Dong-Wook Kim

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.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Sung Chul Lee ◽  
Kwangwoo Nam ◽  
Dajeong Nam ◽  
Min A Kwon ◽  
Dong-Wook Kim

An amendment to this paper has been published and can be accessed via the original article.


2014 ◽  
Vol 21 (8) ◽  
pp. 2620-2620 ◽  
Author(s):  
Claudius Conrad ◽  
Marius Nedelcu ◽  
Satoshi Ogiso ◽  
Thomas A. Aloia ◽  
Jean-Nicolas Vauthey ◽  
...  

1992 ◽  
Vol 25 (8) ◽  
pp. 2157-2161
Author(s):  
Yoshiki Horita ◽  
Yuichi Miyamura ◽  
Yasutomo Azumi ◽  
Yoshihiko Furuya ◽  
Yukio Tagashira

2018 ◽  
Vol 06 (05) ◽  
pp. E625-E629
Author(s):  
Youichi Miyaoka ◽  
Shinsuke Suemitsu ◽  
Aya Fujiwara ◽  
Satoshi Kotani ◽  
Kosuke Tsukano ◽  
...  

Abstract Background and study aims A 72-year-old man with complete situs inversus presented with early gastric cancer on the lesser curvature wall of the antrum of the stomach. Endoscopic submucosal dissection (ESD) was selected as a treatment. When the patient was positioned in the left decubitus position, the lesion was hidden by blood and gastric fluid because it was located on the gravitational side. Therefore, we decided to perform ESD with the patient in the right lateral decubitus position and use an inverted overtube, which provided a good endoscopic view without the need to rearrange the endoscopist, assistants, or endoscopic system. ESD was safe and feasible using the inverted overtube.


Endoscopy ◽  
2010 ◽  
Vol 42 (S 02) ◽  
pp. E1-E2 ◽  
Author(s):  
S. Park ◽  
H. Chun ◽  
B. Keum ◽  
Y. Seo ◽  
Y. Jeen ◽  
...  

2020 ◽  
Author(s):  
Jian fang Rong ◽  
Si hai Chen ◽  
Cong hua Song ◽  
Huan Wang ◽  
Qiao yun Zhao ◽  
...  

Abstract Background Gastrointestinal stromal tumors (GISTs) of the stomach are the most common GISTs. The risk, incidence and outcome of cancer are different between the sexes. Whether gender is related to the prognosis of gastric stromal tumors is unclear. Therefore, this study aims to explore the relationship between gender and gastric GIST prognosis. Methods Data from gastric GIST patients were collected from the Surveillance, Epidemiology, and End Results (SEER) database. After propensity score matching (PSM) was performed to reduce confounding factors, the clinicopathological features and prognosis of GIST patients were comprehensively evaluated. Results There were 512 male patients and 538 female patients with gastric GIST. The gender of gastric GIST patients was associated with marital status, surgical treatment, tumor size, and mitotic index (P < 0.05). The Kaplan-Meier analysis and log-rank test revealed that male patients had a higher mortality rate than female patients (P = 0.0024). After matching all the potential confounding factors, the survival of the female gastric GIST patients was better than that of the male gastric GIST patients (P = 0.042). Cox regression analysis revealed that gender was an independent risk factor for overall survival. The risk of death was higher for males than for females (HR: 1.539, 95% CI: 1.066–2.222, P = 0.021). Conclusion Gender could be a prognostic factor for gastric GIST survival, and male patients had a higher risk of death.


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