Abstract
The Burden of Respiratory Syncytial Virus Disease in Pre-Term Infants
Highlights
In the past, several cases of synchronous adenocarcinoma of stomach or small intestine and Gastrointestinal stromal tumours (GIST) have been reported in literatures worldwide [1,2,3]
We report a case of a 74 year old man who initially presented with moderately differentiated adenocarcinoma of the stomach, underwent Billroth 2 gastrectomy followed by chemotherapy
After 15 months he developed a GIST of small bowel with metastasis from adenocarcinoma of stomach
Summary
Several cases of synchronous adenocarcinoma of stomach or small intestine and GIST have been reported in literatures worldwide [1,2,3]. In this particular case of interest, metastasis from operated adenocarcinoma of stomach is metachronously found metastasizing in a small bowel GIST. A hypothesis of gene mutation/deregulation can be put forth [2,3]. Proliferation of different cell lines induced by the same carcinogen at different points of time cannot be ruled out. We would like to stress on the unusual metastasis into the GIST which might be the first to be reported in these two metachronous tumors
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