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Vojnosanitetski pregled
2015, vol. 72, br. 7, str. 642-645
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/vsp140626056T


Istovremeni karcinom želuca i debelog creva
aClinic of General Surgery, Military Medical Academy, Belgrade + Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade
bClinic of General Surgery, Military Medical Academy, Belgrade
cFaculty of Medicine of the Military Medical Academy, University of Defence, Belgrade + Clinic of Anesthesiology and Critical Care, Military Medical Academy, Belgrade

e-adresa: mavumit@gmail.com

Sažetak

Uvod. Istovremeni karcinom želuca i debelog creva javlja se kod 4% bolesnika, obično kao uzgredan nalaz. Pri-kazali smo primer invazivnog, sinhronog karcinoma želuca i sigmoidnog kolona. Prikaz bolesnika. Bolesnik, star 63 godine, primljen je u našu ustanovu zbog bola u epigastrijumu, povraćanja, naglog gubitka telesne mase i povremene opstipacije. Ezofagogastroduodenoskopijom (EGDS) verifikovan je ulceroinfiltrativni tumor fundusa želuca, a kolonoskopski stenozirajući tumor sigmoidnog kolona. Multislajsnom kompjuterizovanom tomografijom (MSCT) grudnog koša i abdomena utvrđeno je postojanje promene u desnom plućnom krilu. Videoskopskom torakoskopijom (VATS) i biopsijom promene desnog pluća isključena je diseminacija. Učinjena je totalna gastrektomija sa omentektomijom, splenektomijom, D2 limfadenektomijom i tipična leva hemikolektomija. Patohistološkim pregledom verifkovan je invazivni, difuzni adenokarcinom želuca i invazivni, tubularni adenokarcinom kolona. Primenjena je sistemska postoperativna hemoterapija. Bolesnik je živ, bez znakova recidiva, 2 godine posle operacije. Zaključak. Postojanje simptomatologije koja ne odgovara primarnom malignitetu zahteva dodatnu dijagnostiku. Kombinovana resekcija je adekvatna hirurška procedura.

Ključne reči

Reference

Chang, Y., Tsai, C., Yang, T., Shih, C., Wu, M., Lin, J. (2002) Synchronous triple cancers at middle and lower esophagus and stomach with different histological features and genetic alterations. J Gastroenterol Hepatol, 17(6): 724-7
Dinis-Ribeiro, M., Lomba-Viana, H., Silva, R., Moreira-Dias, L., Lomba-Viana, R. (2002) Associated primary tumors in patients with gastric cancer. J Clin Gastroenterol, 34(5): 533-5
Eom, B.W., Lee, H., Yoo, M., Cho, J.J., Kim, W.H., Yang, H., Lee, K.U. (2008) Synchronous and metachronous cancers in patients with gastric cancer. Journal of surgical oncology / J Surg Oncol, 98(2): 106-10
Ikeda, Y., Saku, M., Kawanaka, H., Nonaka, M., Yoshida, K. (2003) Features of Second Primary Cancer in Patients with Gastric Cancer. Oncology, 65(2): 113-117
Ikeguchi, M., Ohfuji, S., Oka, A., Tsujitani, S., Maeda, M., Kaibara, N. (1995) Synchronous and metachronous primary malignancies in organs other than the stomach in patients with early gastric cancer. Hepatogastroenterology, 42(5): 672-6
Kaibara, N., Maeta, M., Ikeguchi, M. (1993) Patients with multiple primary gastric cancers tend to develop second primaries in organs other than the stomach. Surgery Today, 23(2): 186-188
Kim, J.P., Park, J.G. (1983) Results of treatment of stomach cancer. J Korean Med Assoc, 26: 637-42
Koide, N., Adachi, W., Koike, S., Watanabe, H., Yazawa, K., Amano, J. (1998) Synchronous gastric tumors associated with esophageal cancer: a retrospective study of twenty-four patients. Am J Gastroenterol, 93(5): 758-62
Laurén, P. (1965) The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. Acta Pathol Microbiol Scand, 64: 31-49
Lee, J.H., Bae, J.S., Ryu, K.W., Lee, J.S., Park, S.R., Kim, C.G., Kook, M.C., Choi, I.J., Kim, Y.W., Park, J., Bae, J. (2006) Gastric cancer patients at high-risk of having synchronous cancer. World journal of gastroenterology / World J. Gastroenterol., 12(16): 2588-92
Lei, Z., Zhao, H., Liang, D. (2007) Clinical analysis of 13 cases of synchronous gastric and colorectal cancer. Chinese German J Clin Oncol, 6(4): P331-3
Maruyama, K., Okabayashi, K., Kinoshita, T. (1987) Progress in gastric cancer surgery in Japan and its limits of radicality. World J Surg, 11(4): 418-25
Mylonakis, E., Klimis, A., Vlachos, G., Glynatsis, M. (2012) Synchronous colon and advanced gastric cancer. Hellenic Journal of Surgery, 84(5): 314-316
Nakajima, T. (2002) Gastric cancer treatment guidelines in Japan. Gastric Cancer, 5(1): 1-5
Ohtani, H., Yashiro, M., Onoda, N., Nishioka, N., Kato, Y., Yamamoto, S., Fukushima, S., Chung, K.H. (2000) Synchronous multiple primary gastrointestinal cancer exhibits frequent microsatellite instability. International Journal of Cancer, 86(5): 678-683
Onoue, S., Katoh, T., Chigira, H., Matsuo, K., Suzuki, M., Shibata, Y., i dr. (2000) Synchronous multiple primary cancers of the stomach and duodenum in aged patients: report of two cases. Surg Today, 30: 735-738
Saito, S., Hosoya, Y., Togashi, K., Kurashina, K., Haruta, H., Hyodo, M., Koinuma, K., Horie, H., Yasuda, Y., Nagai, H. (2007) Prevalence of Synchronous Colorectal Neoplasms Detected by Colonoscopy in Patients with Gastric Cancer. Surgery Today, 38(1): 20-25
Sato, K., Maekawa, T., Yabuki, K., Tamasaki, Y., Maekawa, H., Kudo, K., Sengoku, H., Kawa, I., Wada, R., Matsumoto, M. (2003) A case of triple synchronous cancers occurring in the gallbladder, common bile duct, and pancreas. J Gastroenterol, 38(1): 97-100
Šipetić, G.S., Krivokapić, Z. (2012) Epidemiological and etiological characteristics of colon and rectal cancer. u: Krivokapić Z. [ur.] Rectal cancer, Belgrade: Zavod za udžbenike, p. 37-55. (Serbian)
Tamura, M., Shinagawa, M., Funaki, Y. (2003) Synchronous triple early cancers occurring in the stomach, colon and gallbladder. Asian J Surg, 26(1): 46-8; discussion 49
Warren, S., Gates, O. (1932) Multiple primary malignant tumors: A survey of the literature and a statistical study. Am J Cancer, 16: 1358-1414
Watanabe, S., Kodama, T., Shimosato, Y., Arimoto, H., Sugimura, T., Suemasu, K., et al. (1984) Multiple primary cancers in 5,456 autopsy cases in the National Cancer Center of Japan. J Natl Cancer Inst, 72(5): 1021-7