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Synchronous colorectal adenocarcinoma and gastrointestinal stromal tumor in Meckel's diverticulum; an unusual association.

TitleSynchronous colorectal adenocarcinoma and gastrointestinal stromal tumor in Meckel's diverticulum; an unusual association.
Publication TypeJournal Article
Year of Publication2009
AuthorsKosmidis, C., Efthimiadis C., Levva S., Anthimidis G., Baka S., Grigoriou M., Tzeveleki I., Masmanidou M., Zaramboukas T., & Basdanis G.
JournalWorld J Surg Oncol
Volume7
Pagination33
Date Published2009
ISSN1477-7819
KeywordsAdenocarcinoma, Aged, Colorectal Neoplasms, Gastrointestinal Stromal Tumors, Humans, Male, Meckel Diverticulum, Neoplasms, Multiple Primary
Abstract

BACKGROUND: Coexistence of gastrointestinal stromal tumor with synchronous or metachronous colorectal cancer represents a phenomenon with increasing number of relative reports in the last 5 years. Synchronous occurence of GISTs with other gastrointestinal tumors of different histogenesis presents a special interest. We herein report a case of GIST in Meckel's diverticulum synchronous with colorectal adenocarcinoma.CASE PRESENTATION: A 69 year old man, presented with abdominal distension and anal bleeding on defecation. Colonoscopy revealed colorectal cancer and a low anterior resection was performed, during which a tumor in Meckel's diverticulum was discovered. Histologic examination revealed GIST in Meckel's diverticulum and a rectosigmoid adenocarcinoma.CONCLUSION: Whenever GIST is encountered, the surgeon should be alert to recognize a possible coexistent tumor with different histological origin. Correct diagnosis of synchronous tumors of different origin is the cornerstone of treatment.

DOI10.1186/1477-7819-7-33
Alternate JournalWorld J Surg Oncol
PubMed ID19309498
PubMed Central IDPMC2664807

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