Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature

CONTEXT: Gastric stump cancer after gastric resection is a well-known disease. It may be a newly developed cancer after resection due to benign disease, or recurrent or residual disease after oncological surgery. The predominant histological type is usually adenocarcinoma. This study aimed to repor...

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Main Authors: Everton Cazzo, Helena Paes de Almeida de Saito
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000100084&lng=en&tlng=en
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author Everton Cazzo
Helena Paes de Almeida de Saito
author_facet Everton Cazzo
Helena Paes de Almeida de Saito
author_sort Everton Cazzo
collection DOAJ
description CONTEXT: Gastric stump cancer after gastric resection is a well-known disease. It may be a newly developed cancer after resection due to benign disease, or recurrent or residual disease after oncological surgery. The predominant histological type is usually adenocarcinoma. This study aimed to report on a rare occurrence of a mixed adenoneuroendocrine carcinoma (MANEC) on the gastric stump. CASE REPORT: The case of an 83-year-old female who presented a locally aggressive gastric stump MANEC, 35 years after Billroth II gastrectomy to treat a peptic ulcer, is reported. The patient underwent resection and adjuvant therapy. She has been followed up for one year without signs of recurrence. CONCLUSION: MANEC is a rare type of gastrointestinal neoplasm. The classification, histopathology, clinical features, treatment issues and prognosis are discussed along with a brief review of the literature.
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spelling doaj.art-51d5d10c0feb44bf97b612c9d845ea232022-12-22T01:45:12ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94601341848710.1590/1516-3180.2013.9080911S1516-31802016000100084Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literatureEverton CazzoHelena Paes de Almeida de SaitoCONTEXT: Gastric stump cancer after gastric resection is a well-known disease. It may be a newly developed cancer after resection due to benign disease, or recurrent or residual disease after oncological surgery. The predominant histological type is usually adenocarcinoma. This study aimed to report on a rare occurrence of a mixed adenoneuroendocrine carcinoma (MANEC) on the gastric stump. CASE REPORT: The case of an 83-year-old female who presented a locally aggressive gastric stump MANEC, 35 years after Billroth II gastrectomy to treat a peptic ulcer, is reported. The patient underwent resection and adjuvant therapy. She has been followed up for one year without signs of recurrence. CONCLUSION: MANEC is a rare type of gastrointestinal neoplasm. The classification, histopathology, clinical features, treatment issues and prognosis are discussed along with a brief review of the literature.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000100084&lng=en&tlng=enStomach neoplasmsGastric stumpMixed tumor, malignantAdenocarcinomaNeuroendocrine tumors
spellingShingle Everton Cazzo
Helena Paes de Almeida de Saito
Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature
São Paulo Medical Journal
Stomach neoplasms
Gastric stump
Mixed tumor, malignant
Adenocarcinoma
Neuroendocrine tumors
title Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature
title_full Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature
title_fullStr Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature
title_full_unstemmed Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature
title_short Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature
title_sort mixed adenoneuroendocrine carcinoma of the gastric stump following billroth ii gastrectomy case report and review of the literature
topic Stomach neoplasms
Gastric stump
Mixed tumor, malignant
Adenocarcinoma
Neuroendocrine tumors
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000100084&lng=en&tlng=en
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