Published in:
Open Access
01-12-2009 | Case report
Synchronous colorectal adenocarcinoma and gastrointestinal stromal tumor in Meckel's diverticulum; an unusual association
Authors:
Christopher Kosmidis, Christopher Efthimiadis, Sofia Levva, George Anthimidis, Sofia Baka, Marios Grigoriou, Ioanna Tzeveleki, Maria Masmanidou, Thomas Zaramboukas, Georgios Basdanis
Published in:
World Journal of Surgical Oncology
|
Issue 1/2009
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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.