ABSTRACT
Los tumores malignos primarios múltiples sincrónicos son relativamente inusuales, aunque el número de pacientes diagnosticados con tumores primarios múltiples se está incrementando, dado al desarrollo de procedimientos diagnósticos más sofisticados, invasivos o no invasivos, y el incremento del número de pacientes ancianos. Los canceres sincrónicos al triple fueron reportados en solo el 1,2-1,9% de todos los canceres primarios. Los órganos digestivos son el sitio más común para tumores malignos primarios múltiples y también es el sitio usual del tumor primario. Nosotros describiremos los síntomas, diagnostico y tratamiento de un paciente masculino de 65 años con tumores gástricos malignos múltiples sincrónicos asociado a un cáncer de esófago.
Synchronous multiple primary malignant tumors are relatively unusual, although the number of patients diagnosed with multiple primary tumors is increasing due to development of more sophisticated invasive and non-invasive diagnostic tools and an increase in the number of elderly patients. Synchronous triple cancers were reported in only 1.2-1,9% of all primary cancers. Digestives organs are the most common tumor site for multiple primary malignant tumors and also the usual site for primary tumors. We will describe the symptoms, diagnosis and treatment of a 65 year-old male patient with synchronous gastric malignant tumors associated with esophageal cancer.
Subject(s)
Humans , Male , Middle Aged , Endoscopy, Gastrointestinal , Stomach Neoplasms/diagnosis , Stomach Neoplasms/drug therapy , Stomach Neoplasms/radiotherapy , Gastrectomy , GastroenterologyABSTRACT
PURPOSE To discuss induction and relation of synchronous multiple primary cancer to adenoma of large intestines. METHODS Continuous observation of resectable and pathologically proved cancer of large intestines of 166 cases. RESULTS We discovered 8 cases (4. 8%) of synchronous multiple primary cancer of large interstines. 43 cases of single primary cancer of concomitant adenoma (27. 7%). The 4 cases of synchronous cancer had merged adenoma (50%). The 4 cases of synchronous cancer had concomitant adenoma of 14 sites. Of these 2 cases had neoplastic change in 3 sites. The rate of neoplastic change was 50% concomitant adenoma. In the whole group, of the 18 cancer sites, 8 nidi were less than 3cm. CONCLUSION Synchronous cancer of large intestines is not rare, and is related to malignant change of adenomas. complete colonoscopy is an important means to improve diagnostic rate.