Revista do Colégio Brasileiro de Cirurgiões
versão impressa ISSN 0100-6991
CAMARGO, Marcelo Amade et al. Synchronous adenocarcinoma and stromal tumor (GIST) in the stomach: a rare occurrence. Rev. Col. Bras. Cir. [online]. 2008, vol.35, n.1, pp. 61-63. ISSN 0100-6991. http://dx.doi.org/10.1590/S0100-69912008000100014.
A concomitant epithelial and stromal tumor in stomach is unusual in the literature. The purpose of this paper is to report the case and it's therapeutic management. A 72 year old black male patient , which upper digestive endoscopy showed a gastric neoplasm (Borrmann III) at incisura angularis and the biopsy revealed adenocarcinoma. A subtotal gastrectomy with D2 limphadenectomy and Roux-en-Y reconstruction was performed. The histopathology studies confirmed an adenocarcinoma and a gastric stromal tumor, whose immunohistochemical exam was compatible to GIST. Seventeen months after surgery, a computadorized tomography revealed a retrogastric tumor and laparotomy was indicated to remove the lesion.
Palavras-chave : Adenocarcinoma; Adenosarcoma; Leiomyosarcoma; Neoplasms, multiple primary; Gastrointestinal Stromal Tumors; Gastrointestinal neoplasms; Stromal Cells.