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IP Archives of Cytology and Histopathology Research


Synchronous tumors in an elderly patient – A rare case report


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Case Report

Author Details : Kavithamani K, Anandraj Vaithy, Shanmugasamy K*, Narasimhar K, Sowmya S

Volume : 5, Issue : 2, Year : 2020

Article Page : 180-182


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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,

Doi : 10.18231/j.achr.2020.038

How to cite : Kavithamani K, Vaithy A, Shanmugasamy K, Narasimhar K, Sowmya S, Synchronous tumors in an elderly patient – A rare case report. IP Arch Cytol Histopathol Res 2020;5(2):180-182

Copyright © 2020 by author(s) and IP Arch Cytol Histopathol Res. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)