A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma

Gastrointestinal stromal tumors are the most common mesenchymal tumors of the gastrointestinal tract. They are generally considered as solitary tumors. Here we report the case of a 66-year-old man with familial history of digestive cancers, admitted after a 2-months history of gastrointestinal bleed...

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Main Authors: Refeno Valéry, Hasiniatsy Nomeharisoa Rodrigue Emile, Ramahandrisoa Andriatsihoarana Voahary Nasandratriniavo, Ramanampamonjy Rado Manitrala, Samison Luc Hervé, Rafaramino Florine
Format: Article
Language:English
Published: The Pan African Medical Journal 2019-12-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/34/197/pdf/197.pdf
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author Refeno Valéry
Hasiniatsy Nomeharisoa Rodrigue Emile
Ramahandrisoa Andriatsihoarana Voahary Nasandratriniavo
Ramanampamonjy Rado Manitrala
Samison Luc Hervé
Rafaramino Florine
author_facet Refeno Valéry
Hasiniatsy Nomeharisoa Rodrigue Emile
Ramahandrisoa Andriatsihoarana Voahary Nasandratriniavo
Ramanampamonjy Rado Manitrala
Samison Luc Hervé
Rafaramino Florine
author_sort Refeno Valéry
collection DOAJ
description Gastrointestinal stromal tumors are the most common mesenchymal tumors of the gastrointestinal tract. They are generally considered as solitary tumors. Here we report the case of a 66-year-old man with familial history of digestive cancers, admitted after a 2-months history of gastrointestinal bleeding. Colonoscopy showed a circumferential ulcerated tumor of the sigmoid which was a well differentiated adenocarcinoma on biopsy. Computerized tomography showed only the lesion of the sigmoid. The patient underwent a left colectomy followed by immediate end-to-end anastomosis. Per-operatively, jejunal mass was discovered and a jejunal segmentectomy was performed. Pathologic examination revealed a colic adenocarcinoma pT2N0M0 associated with a low risk stromal tumor of the jejunum CD117+ and DOG-1+. No adjuvant therapy was given. After 64 months of follow-up, the patient showed no evidence of recurrence. Clinicians should be aware of the coexistence of malignancies and carry careful investigations for accurate diagnosis and better patients' prognosis.
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spelling doaj.art-db1e518fbaa6423a8ad26518561ff0a92022-12-21T20:03:07ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882019-12-013419710.11604/pamj.2019.34.197.1937319373A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinomaRefeno Valéry0Hasiniatsy Nomeharisoa Rodrigue Emile1Ramahandrisoa Andriatsihoarana Voahary Nasandratriniavo2Ramanampamonjy Rado Manitrala3Samison Luc Hervé4Rafaramino Florine5 Department of Oncology, Professor Zafisaona Gabriel Teaching Hospital, Mahajanga, Faculty of Medicine of Mahajanga, Mahajanga , Madagascar Department of Oncology and Palliative Care, Military Hospital Antananarivo, Faculty of Medicine of Antananarivo, Antananarivo, Madagascar Department of Oncology, Joseph Ravoahangy Andrianavalona Teaching Hospital Antananarivo, Faculty of Medicine of Antananarivo Antananarivo, Madagascar Department of Gastro-Enterolgy, Joseph Raseta Befelatanana Teaching Hospital Antananarivo, Faculty of Medicine of Antananarivo, Antananarivo, Madagascar Department of Visceral surgery, Joseph Ravoahangy Andrianavalona Teaching hospital Antananarivo, Faculty of Medicine of Antananarivo, Antananarivo, Madagascar Faculty of Medicine of Antananarivo, Antananarivo, Madagascar Gastrointestinal stromal tumors are the most common mesenchymal tumors of the gastrointestinal tract. They are generally considered as solitary tumors. Here we report the case of a 66-year-old man with familial history of digestive cancers, admitted after a 2-months history of gastrointestinal bleeding. Colonoscopy showed a circumferential ulcerated tumor of the sigmoid which was a well differentiated adenocarcinoma on biopsy. Computerized tomography showed only the lesion of the sigmoid. The patient underwent a left colectomy followed by immediate end-to-end anastomosis. Per-operatively, jejunal mass was discovered and a jejunal segmentectomy was performed. Pathologic examination revealed a colic adenocarcinoma pT2N0M0 associated with a low risk stromal tumor of the jejunum CD117+ and DOG-1+. No adjuvant therapy was given. After 64 months of follow-up, the patient showed no evidence of recurrence. Clinicians should be aware of the coexistence of malignancies and carry careful investigations for accurate diagnosis and better patients' prognosis. https://www.panafrican-med-journal.com/content/article/34/197/pdf/197.pdf adenocarcinomaassociationstromal tumorssurgerysynchronous
spellingShingle Refeno Valéry
Hasiniatsy Nomeharisoa Rodrigue Emile
Ramahandrisoa Andriatsihoarana Voahary Nasandratriniavo
Ramanampamonjy Rado Manitrala
Samison Luc Hervé
Rafaramino Florine
A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
The Pan African Medical Journal
adenocarcinoma
association
stromal tumors
surgery
synchronous
title A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
title_full A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
title_fullStr A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
title_full_unstemmed A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
title_short A case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
title_sort case of synchronous association of a jejunal stromal tumor and a colic adenocarcinoma
topic adenocarcinoma
association
stromal tumors
surgery
synchronous
url https://www.panafrican-med-journal.com/content/article/34/197/pdf/197.pdf
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