Korean J Gastrointest Endosc > Volume 41(6); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(6): 350-354.
대장 샘암종과 동시에 발생한 위장의 위장관 간질종양
이준섭ㆍ정우철ㆍ이강문ㆍ백창렬ㆍ김형진*ㆍ전경화*ㆍ조현민*ㆍ진형민*
가톨릭대학교 의과대학 내과학교실, *외과학교실
Synchronous Incidental Occurrence of Gastric Gastrointestinal Stromal Tumor and Colon Adenocarcinoma
Joune Seup Lee, M.D., Woo Chul Chung, M.D., Kang Moon Lee, M.D., Chang Nyol Paik, M.D., Hyung Jin Kim, M.D.*, Kyong-Hwa Jun, M.D.*, Hyeon-Min Cho, M.D.* and Hyung Min Chin, M.D.*
Departments of Internal Medicine and *Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
A few cases of gastrointestinal stromal tumor (GIST) synchronous cancers with other malignancies have been reported, such as gastric cancer, pancreatic cancer, renal cell carcinoma, colon cancer, and carcinoid tumor. However, little is known about their coincidence with other tumors with a different histogenesis. A 62-year-old man visited our hospital with generalized weakness and intermittent hematochezia. A colonoscopic examination showed an ulcerating mass in the ascending colon, and a biopsy specimen revealed adenocarcinoma. A lobulated submucosal mass in the gastric fundus was found incidentally during the preoperative staging procedures, including computed tomography (CT) and positron emission tomography-CT. The colon cancer and gastric tumor were removed simultaneously (laparoscopy assisted right hemicolectomy and total gastrectomy). Immunohistochemical studies on the gastric tumor surgical specimen showed that it was CD117 (+) and CD34 (+), and the final diagnosis was a GIST of the stomach. Herein, we report a case of the synchronous occurrence of colon adenocarcinoma and gastric GIST. (Korean J Gastrointest Endosc 2010;41:350-354)
Key Words: Gastrointestinal stromal tumor, Colon adenocarcinoma, Synchronous cancer
주요어: 위장관 간질종양, 대장 샘암종, 동시암
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