Department of Surgery, Gyeongsang National University, Gyeongnam Regional Cancer Center, Institue of Health Sciences, Gyeongsang National University, Jinju, Korea.
J Gastric Cancer. 2011 Mar;11(1):55-8. doi: 10.5230/jgc.2011.11.1.55. Epub 2011 Mar 31.
The simultaneous occurrence of a gastrointestinal stromal tumor (GIST) and a gastric adenocarcinoma is uncommon, and has rarely been reported in the literature. The present report describes the case of a 74-year-old male patient who initially presented with an adenocarcinoma that had invaded the antral mucosa. Computed tomography then revealed the presence of a suspected GIST, in the form of a 2×2 cm mass at the hilum of the spleen. In view of the advanced age of the patient, a surgical approach that would minimize risk and maximize quality of life was preferred. The patient therefore underwent simultaneous laparoscopy-assisted distal gastrectomy for the adenocarcinoma and wedge resection for the GIST. This approach was only chosen after confirming that it would be possible to preserve three or more of the short gastric arteries that supply the area below the wedge resection site. This may be considered a feasible approach to the management of the simultaneous occurrence of a mid-to-low gastric body adenocarcinoma and a high gastric body GIST.
胃肠道间质瘤（GIST）与胃腺癌同时发生并不常见，文献中鲜有报道。本报告描述了 1 例 74 岁男性患者，其最初表现为浸润胃窦黏膜的腺癌。计算机断层扫描显示，在脾门处存在一个疑似 GIST，大小约为 2×2cm。鉴于患者年龄较大，选择了一种风险最小、生活质量最大化的手术方法。因此，患者接受了腹腔镜辅助远端胃切除术治疗腺癌和楔形切除术治疗 GIST。仅在确认能够保留供应楔形切除部位下方区域的 3 条或更多短胃动脉后，才选择这种方法。对于管理胃体中-下部腺癌和胃体高位 GIST 的同时发生，这可能是一种可行的方法。
