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KMID : 0914820040040010044
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Journal of the Korean Gastric Cancer Association
2004 Volume.4 No. 1 p.44 ~ p.47
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Giant Gastrointestinal Stromal Tumor Accompanying Stomach Cancer
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Kim Doo-Won
Heo Tae-Kil
Suh Byoung-Jo
Yu Hang-Jong
Joo Mee
Lee Hye-Kyung
Kim Jin-Pok
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Abstract
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We report a case of giant malignant gastrointestinal stromal tumor (GIST) accompanying an advanced gastric adenocarcinoma. A 73-year-old male patient was admitted to our hospital due to epigastric discomfort. In gastrofiberscopic examination, a localized Borrmann III gastric cancer at the lower body and antrum was noted. In endoscopic ultrasonographic examination, T3 hyperechoic advanced gastric cancer lesion and a relatively well-marginated heterogenous´ hypoechoic huge mass with a size of 10 cm were noted. In abdomen CT findings, localized wall thickening in the gastric antrum and the anterior wall, and a 11-cm-sized large -heterogeneously enhancing mass in gastric body, posterior wall were noted. We did a radical subtotal gastrectomy;´ including a huge mass, with D2 lymph node dissection. Pathologic findings revealed double primary gastric neoplasms (synchronous occurrence of an adenocarcinoma and a huge´ GIST). Although closely juxtaposed, these two tumors had not merged and were separated by the thin rim of the muscularis propria.
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KEYWORD
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Gastrointestinal stromal tumor, Gastric adenocarcinoma, Synchronous occurrence
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