Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report
Synchronous gastrointestinal multiple primary tumors including gastric, colonic, and rectal cancers are rare. Moreover, it was a challenge to find an appropriate procedure without negatively impacting the overall outcome. We described the case of a 63-year-old woman who presented with a 4 month hist...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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De Gruyter
2023-07-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/med-2023-0742 |
| _version_ | 1827904946457018368 |
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| author | Jiang Wei Zhang Genshan Li Haijie Xu Xiangshang Jia Lingwei Luo Xuelai Cao Zhixin |
| author_facet | Jiang Wei Zhang Genshan Li Haijie Xu Xiangshang Jia Lingwei Luo Xuelai Cao Zhixin |
| author_sort | Jiang Wei |
| collection | DOAJ |
| description | Synchronous gastrointestinal multiple primary tumors including gastric, colonic, and rectal cancers are rare. Moreover, it was a challenge to find an appropriate procedure without negatively impacting the overall outcome. We described the case of a 63-year-old woman who presented with a 4 month history of upper abdominal pain, acid regurgitation, and anemia. Gastroscopy with biopsy suggested early cancer of gastric antrum. Abdominal contrast-enhanced computerized tomography and colonoscopy revealed ascending colon and rectum tumors. She had no family history of malignancy. Endoscopic submucosal dissection was performed for gastric cancer, and the pathological result presented that it was poorly differentiated and invaded into deep submucosa. The laparoscopy-assisted radical surgery combined with distal gastrectomy, right hemicolectomy, and anterior resection of rectum was performed for these three tumors via eight ports and a 7 cm midline upper-abdominal incision. No other perioperative complications were encountered except postoperative ileus. The patient was discharged on the 12th postoperative day. The pathological results revealed gastric cancer (T1N0M0), right colonic cancer (T3N1M0), and rectal cancer (T2N0M0), indicating complete surgical resection. We reported that our laparoscopic approach for synchronous triple primary gastrointestinal malignant tumors was feasible and minimally invasive. |
| first_indexed | 2024-03-13T00:35:26Z |
| format | Article |
| id | doaj.art-00a79bc1fc0a4a229b64dcc22897fe18 |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-03-13T00:35:26Z |
| publishDate | 2023-07-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-00a79bc1fc0a4a229b64dcc22897fe182023-07-10T06:03:58ZengDe GruyterOpen Medicine2391-54632023-07-01181e0001723410.1515/med-2023-0742Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case reportJiang Wei0Zhang Genshan1Li Haijie2Xu Xiangshang3Jia Lingwei4Luo Xuelai5Cao Zhixin6Department of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, 430000, Wuhan, ChinaSynchronous gastrointestinal multiple primary tumors including gastric, colonic, and rectal cancers are rare. Moreover, it was a challenge to find an appropriate procedure without negatively impacting the overall outcome. We described the case of a 63-year-old woman who presented with a 4 month history of upper abdominal pain, acid regurgitation, and anemia. Gastroscopy with biopsy suggested early cancer of gastric antrum. Abdominal contrast-enhanced computerized tomography and colonoscopy revealed ascending colon and rectum tumors. She had no family history of malignancy. Endoscopic submucosal dissection was performed for gastric cancer, and the pathological result presented that it was poorly differentiated and invaded into deep submucosa. The laparoscopy-assisted radical surgery combined with distal gastrectomy, right hemicolectomy, and anterior resection of rectum was performed for these three tumors via eight ports and a 7 cm midline upper-abdominal incision. No other perioperative complications were encountered except postoperative ileus. The patient was discharged on the 12th postoperative day. The pathological results revealed gastric cancer (T1N0M0), right colonic cancer (T3N1M0), and rectal cancer (T2N0M0), indicating complete surgical resection. We reported that our laparoscopic approach for synchronous triple primary gastrointestinal malignant tumors was feasible and minimally invasive.https://doi.org/10.1515/med-2023-0742case reportmultiple primary malignant tumorsgastric cancercolorectal cancerlaparoscopic surgery |
| spellingShingle | Jiang Wei Zhang Genshan Li Haijie Xu Xiangshang Jia Lingwei Luo Xuelai Cao Zhixin Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report Open Medicine case report multiple primary malignant tumors gastric cancer colorectal cancer laparoscopic surgery |
| title | Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report |
| title_full | Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report |
| title_fullStr | Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report |
| title_full_unstemmed | Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report |
| title_short | Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report |
| title_sort | synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery a case report |
| topic | case report multiple primary malignant tumors gastric cancer colorectal cancer laparoscopic surgery |
| url | https://doi.org/10.1515/med-2023-0742 |
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