Tumor gástrico de colisão: adenocarcinoma associado a tumor carcinoide / Gastric collision tumor: adenocarcinoma associated with carcinoid tumor
Rev. HCPA & Fac. Med. Univ. Fed. Rio Gd. do Sul
;
31(3): 359-363, 2011. tab, ilus
Article
in Portuguese
| LILACS
| ID: lil-610039
RESUMO
Relato de caso de paciente masculino, com 62 anos, com quadro de dor epigástrica e perda ponderal. A tomografia abdominal subsequente revelou lesão vegetante de 3,0 x 1,5 cm no antro gástrico. O paciente foi submetido à gastrectomia parcial com reconstrução em Y de Roux. Após análise anatomopatológica da peça cirúrgica, evidenciou-se tumor carcinoide maligno de 2,0 cm associado ao adenocarcinoma gástrico do tipo intestinal de Lauren e à ausência de metástases linfonodais. A imuno-histoquímica confirmou esses achados. Esse caso é de grande importância para a literatura médica, visto que, ao nosso conhecimento, representa o nono relato de um tumor gástrico dotado dessas características.
ABSTRACT
A case report of a 62-year-old male patient with a history of epigastric pain and weight loss. A subsequent abdominal computed tomography (CT) scan revealed a vegetative lesion of 3.0 x 1.5 cm in the gastric antrum. The patient underwent partial gastrectomy with Roux-en-Y reconstruction. After anatomic pathological analysis of the surgical specimen, a 2-cm malignant carcinoid tumor, associated with a Lauren intestinal-type gastric adenocarcinoma and no lymph node metastasis, was detected. Immunohistochemistry confirmed these findings. This case is of great importance to the medical literature, because this report represents, to our knowledge, the ninth case of a gastric tumor with these characteristics reported in the literature.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pyloric Antrum
/
Carcinoid Tumor
/
Adenocarcinoma
Type of study:
Risk factors
Limits:
Humans
/
Male
Language:
Portuguese
Journal:
Rev. HCPA & Fac. Med. Univ. Fed. Rio Gd. do Sul
Journal subject:
Medicine
Year:
2011
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital São Vicente de Paulo/BR
/
Universidade Federal do Rio Grande do Sul/BR
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