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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The Pan African Medical Journal
2019-12-01
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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. |
first_indexed | 2024-12-19T22:39:23Z |
format | Article |
id | doaj.art-db1e518fbaa6423a8ad26518561ff0a9 |
institution | Directory Open Access Journal |
issn | 1937-8688 1937-8688 |
language | English |
last_indexed | 2024-12-19T22:39:23Z |
publishDate | 2019-12-01 |
publisher | The Pan African Medical Journal |
record_format | Article |
series | The Pan African Medical Journal |
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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