Abstract
Synchronous gastric and colon cancer although reported from East Asia (China, Japan, Korea) remain rare in other parts of the world. We present the case of a 50-year-old lady who presented to the Hialeah Hospital, USA with an eight-month history of generalized abdominal pain and upon investigation was found to have dual gastric and colonic malignancy. While the incidence of gastric cancer has dropped drastically in the USA, colon cancer remains the third most frequent cancer in both men and women. An estimated 2%-17% of oncological patients may be affected by multiple primary malignancies and a high degree of clinical suspicion along with appropriate diagnostic procedures is required for a definitive diagnosis.
Highlights
The advent of sophisticated treatments in the field of cancer has led to increased survival times among oncological patients
A 50-year-old Hispanic lady presented with an eight-month history of dull, aching generalized abdominal pain that worsened after meals, and was associated with nausea and reduced appetite
In 1932, Warren and Gates proposed the first definition of multiple primary neoplasms stating that: (a) each tumor must be malignant by histology; (b) each tumor must be anatomically distinct; and (c) the second tumor should not be a recurrence or metastasis of the first one
Summary
The advent of sophisticated treatments in the field of cancer has led to increased survival times among oncological patients. Biopsies were taken that revealed moderate-poorly differentiated adenocarcinoma She underwent positron-emission tomography (PET) scanning that showed increased uptake in two regions: one in the medial gastric fundus (maximum SUV=14.2) and a second one near the cecum (maximum SUV=18.6). We proceeded by firing a gastrointestinal anastomosis (GIA-75) stapler along the pylorus, transecting approximately two-thirds of the stomach. The anvil was placed inside the proximal stomach creating an enterotomy that was approximated using another fire on the GIA stapler. We proceeded by anastomosing the terminal ileum and the transverse colon It was side-to-side functional end-to-end anastomosis using GIA and TA. The patient remained well (she was ambulating, tolerating oral diet, and pain was under control) and was discharged on the fourth postoperative day She followed up in clinic up to two months after the surgery.
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