Adenocarcinoma e tumor estromal (GIST) sincrônicos no estômago: uma rara ocorrência

AUTOR(ES)

Camargo, Marcelo Amade, Andreollo, Nelson Adami, Hatsumura, Thais Cristina, Lopes, Luiz Roberto, Meirelles, Luciana Rodrigues

FONTE

Revista do Colégio Brasileiro de Cirurgiões

DATA DE PUBLICAÇÃO

2008-02

RESUMO

A concomitant epithelial and stromal tumor in stomach is unusual in the literature. The purpose of this paper is to report the case and it's therapeutic management. A 72 year old black male patient , which upper digestive endoscopy showed a gastric neoplasm (Borrmann III) at incisura angularis and the biopsy revealed adenocarcinoma. A subtotal gastrectomy with D2 limphadenectomy and Roux-en-Y reconstruction was performed. The histopathology studies confirmed an adenocarcinoma and a gastric stromal tumor, whose immunohistochemical exam was compatible to GIST. Seventeen months after surgery, a computadorized tomography revealed a retrogastric tumor and laparotomy was indicated to remove the lesion.

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