Tzilves D, Moschos J, Paikos D, Tagarakis G, Pilpilidis I, Soufleris K, Kadis S, Tarpagos A, Katsos I
Gastroenterology Department, Theageneion Anticancer Hospital,Thessaloniki, Greece.
Minerva Gastroenterol Dietol. 2008 Mar;54(1):101-3.
Gastrointestinal stromal tumors are currently the object of a great clinical and experimental interest. We are presenting the case of a 69-year-old patient, who was presented with lower gastrointestinal bleeding and dyspeptic symptoms over the last six months. The colonoscopy showed a large tumor of the sigmoid and the gastroscopy a large gastric tumor of the antrum, which were histologically diagnosed as colonic adenocarcinoma and gastric stromal tumor respectively. The patient underwent a sigmoidectomy and a partial gastrectomy. Six months after surgery were the clinical condition, abdominal CT, gastroscopy and colonoscopy without pathological findings. To our best knowledge, this is the second report of a synchronous gastric stromal tumor and a colonic adenocarcinoma in medical literature.
胃肠道间质瘤目前是临床和实验研究的热门对象。我们报告一例69岁患者，在过去六个月中出现下消化道出血和消化不良症状。结肠镜检查显示乙状结肠有一个大肿瘤，胃镜检查显示胃窦有一个大的胃肿瘤，组织学诊断分别为结肠腺癌和胃间质瘤。该患者接受了乙状结肠切除术和部分胃切除术。术后六个月，临床状况、腹部CT、胃镜和结肠镜检查均未发现病理结果。据我们所知，这是医学文献中第二例同步发生胃间质瘤和结肠腺癌的报告。
