A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
| Autor: | Rafaramino Florine, Ramanampamonjy Rado Manitrala, Hasiniatsy Nomeharisoa Rodrigue Emile, Samison Luc Hervé, Refeno Valéry, Ramahandrisoa Andriatsihoarana Voahary Nasandratriniavo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding Colonoscopy Case Report Adenocarcinoma Gastroenterology surgery Internal medicine Biopsy medicine Adjuvant therapy Stromal tumor Gastrointestinal tract medicine.diagnostic_test biology business.industry CD117 synchronous association General Medicine medicine.disease digestive system diseases stromal tumors biology.protein business |
| Zdroj: | Pan African Medical Journal; Vol. 34 No. 1 (2019) The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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