Synchronous tumors in an elderly patient – A rare case report

Abstract

A 70 year old male was admitted with abdominal pain, weight loss, vomiting, difficulty in eating both solid and liquid food & malena for 20 days. On clinical examination patient’s conjunctiva is pale and his blood investigation shows Hemoglobin of 6 g/dl and Normocytic normochromic anemia in peripheral smear. Upper GI endoscopy shows ulceroproliferative growth in the antrum extending into pylorus with complete Gastric outlet obstruction Endoscopic gastric biopsy shows mucinous adenocarcinoma with invasion into muscularis propria. Abdominal CT scan shows a hyper vascular tumor in the Left kidney measuring 9x6x5 cms. Further subtotal gastrectomy and Radical left nephrectomy were performed. Final pathology report was Gastric adenocarcinoma (T2a) with renal cell carcinoma (T3a). Post operative period was uneventful. Elderly people with early gastric cancers have a relative higher probability of developing a synchronous tumour than younger people. The incidence of synchronous gastric cancer and RCC is quite low, and concomitant surgery is rare. It is appreciated that simultaneously both Subtotal gastrectomy and Radical nephrectomy can be performed without any major surgical complications. Our case report also alerts the treating physician to search for any synchronous cancers in the patient suffering from gastric cancer. Keywords: Synchronous cancers, Gastric cancers, Renal cancers,