open access

Vol 13, No 2 (2008)
Untitled
Published online: 2008-03-01
Submitted: 2007-08-13
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An unusual case of synchronous lymphoma and adenocarcinoma occurring as a collision tumour in the stomach – a case report

Witold KYCLER, Marek TERESIAK, Adam ŚLIWIŃSKI
DOI: 10.1016/S1507-1367(10)60088-0
·
Rep Pract Oncol Radiother 2008;13(2):96-100.

open access

Vol 13, No 2 (2008)
Untitled
Published online: 2008-03-01
Submitted: 2007-08-13

Abstract

The occurrence of malignant gastric lymphoma and adenocarcinoma in the same patient is very rare. Here we report a case of synchronous gastric carcinoma and gastric lymphoma with a follicular growth pattern associated in a 73-year-old man. Preliminary diagnosis gastric tumour was suggested so laparotomy was performed for the purpose of treatment resection of the stomach. In the operation field, there was a main lesion spreading through the whole of the stomach and additional multiple lymph node enlargements at the hepato-duodenal, retro-pancreatic and the para-aortic lymph nodes. A short-term intraoperative examination of one of the metastatic lymph nodes showed lymphoma of the stomach. Palliative total gastrectomy Roux-en-Y was performed. Finally the pathology of the specimen revealed two different collided tumours: adenocarcinoma solidum and non-Hodgkin's lymphoma malignum with follicular growth pattern. Following surgery and chemotherapy, the patient is now in a disease progress state.

Abstract

The occurrence of malignant gastric lymphoma and adenocarcinoma in the same patient is very rare. Here we report a case of synchronous gastric carcinoma and gastric lymphoma with a follicular growth pattern associated in a 73-year-old man. Preliminary diagnosis gastric tumour was suggested so laparotomy was performed for the purpose of treatment resection of the stomach. In the operation field, there was a main lesion spreading through the whole of the stomach and additional multiple lymph node enlargements at the hepato-duodenal, retro-pancreatic and the para-aortic lymph nodes. A short-term intraoperative examination of one of the metastatic lymph nodes showed lymphoma of the stomach. Palliative total gastrectomy Roux-en-Y was performed. Finally the pathology of the specimen revealed two different collided tumours: adenocarcinoma solidum and non-Hodgkin's lymphoma malignum with follicular growth pattern. Following surgery and chemotherapy, the patient is now in a disease progress state.

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Keywords

synchronous tumours; gastric cancer; lymphoma; adenocarcinoma

About this article
Title

An unusual case of synchronous lymphoma and adenocarcinoma occurring as a collision tumour in the stomach – a case report

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 13, No 2 (2008)

Pages

96-100

Published online

2008-03-01

DOI

10.1016/S1507-1367(10)60088-0

Bibliographic record

Rep Pract Oncol Radiother 2008;13(2):96-100.

Keywords

synchronous tumours
gastric cancer
lymphoma
adenocarcinoma

Authors

Witold KYCLER
Marek TERESIAK
Adam ŚLIWIŃSKI

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