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Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report

Introduction: Gastrointestinal Stromal Tumors (GIST) are rare mesenchymal neoplasm of gastrointestinal tract. Stomach is the most common site affected by GIST compared to other places in gastrointestinal track. The coexistence of GIST with another malignancy represents a rare phenomenon with few lit...

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Main Authors: Terukumar Chandrasekaran, Nik Amin Sahid Nik Lah, Thanesh Kumar Maiyauen
Format: Article
Language:English
English
Published: Elsevier 2022
Subjects:
RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Online Access:https://eprints.ums.edu.my/id/eprint/33740/1/Synchronous%20Gastrointestinal%20Stromal%20Tumor%20%28GIST%29%20with%20pancreatic%20adenocarcinoma_%20A%20case%20report.pdf
https://eprints.ums.edu.my/id/eprint/33740/2/Synchronous%20Gastrointestinal%20Stromal%20Tumor%20%28GIST%29%20with%20pancreatic%20adenocarcinoma_%20A%20case%20report%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/33740/
https://www.sciencedirect.com/science/article/pii/S204908012200348X
https://doi.org/10.1016/j.amsu.2022.103588
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spelling my.ums.eprints.337402022-08-11T07:39:54Z https://eprints.ums.edu.my/id/eprint/33740/ Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report Terukumar Chandrasekaran Nik Amin Sahid Nik Lah Thanesh Kumar Maiyauen RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens Introduction: Gastrointestinal Stromal Tumors (GIST) are rare mesenchymal neoplasm of gastrointestinal tract. Stomach is the most common site affected by GIST compared to other places in gastrointestinal track. The coexistence of GIST with another malignancy represents a rare phenomenon with few literature reported. Case presentation: We present here 65 years old patient with stomach GIST and synchronous pancreatic adenocarcionoma discovered during surgery for suspected pancreatic mucinious cystadenoma. Distal pancreaticosplenectomy with excision of GIST Tumor & wedge resection of stomach was done. Histopathological examination of resected specimens reported the margins are clear. Discussion: In this article we discuss on the option of systemic therapy versus upfront surgery and their outcome benefit based on literature review. Conclusion: The coexistence of GIST with pancreatic adenocarcinoma is a rare condition. High clinical analysis needed during laparotomy for GIST to detect a synchronous tumor. In a case of GIST the surgeon should recognize the possibility of another tumor with different histological origin. Surgical excision is the mainstay of therapy and it has proven to be curative for our patient. . Due to its rare occurrence and limited literature further studies has to be done on GIST with other synchronous tumor to help the surgeon to manage the patient optimally. Elsevier 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/33740/1/Synchronous%20Gastrointestinal%20Stromal%20Tumor%20%28GIST%29%20with%20pancreatic%20adenocarcinoma_%20A%20case%20report.pdf text en https://eprints.ums.edu.my/id/eprint/33740/2/Synchronous%20Gastrointestinal%20Stromal%20Tumor%20%28GIST%29%20with%20pancreatic%20adenocarcinoma_%20A%20case%20report%20_ABSTRACT.pdf Terukumar Chandrasekaran and Nik Amin Sahid Nik Lah and Thanesh Kumar Maiyauen (2022) Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report. Annals of Medicine and Surgery, 77. pp. 1-3. ISSN 2049-0801 https://www.sciencedirect.com/science/article/pii/S204908012200348X https://doi.org/10.1016/j.amsu.2022.103588
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
spellingShingle RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Terukumar Chandrasekaran
Nik Amin Sahid Nik Lah
Thanesh Kumar Maiyauen
Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report
description Introduction: Gastrointestinal Stromal Tumors (GIST) are rare mesenchymal neoplasm of gastrointestinal tract. Stomach is the most common site affected by GIST compared to other places in gastrointestinal track. The coexistence of GIST with another malignancy represents a rare phenomenon with few literature reported. Case presentation: We present here 65 years old patient with stomach GIST and synchronous pancreatic adenocarcionoma discovered during surgery for suspected pancreatic mucinious cystadenoma. Distal pancreaticosplenectomy with excision of GIST Tumor & wedge resection of stomach was done. Histopathological examination of resected specimens reported the margins are clear. Discussion: In this article we discuss on the option of systemic therapy versus upfront surgery and their outcome benefit based on literature review. Conclusion: The coexistence of GIST with pancreatic adenocarcinoma is a rare condition. High clinical analysis needed during laparotomy for GIST to detect a synchronous tumor. In a case of GIST the surgeon should recognize the possibility of another tumor with different histological origin. Surgical excision is the mainstay of therapy and it has proven to be curative for our patient. . Due to its rare occurrence and limited literature further studies has to be done on GIST with other synchronous tumor to help the surgeon to manage the patient optimally.
format Article
author Terukumar Chandrasekaran
Nik Amin Sahid Nik Lah
Thanesh Kumar Maiyauen
author_facet Terukumar Chandrasekaran
Nik Amin Sahid Nik Lah
Thanesh Kumar Maiyauen
author_sort Terukumar Chandrasekaran
title Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report
title_short Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report
title_full Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report
title_fullStr Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report
title_full_unstemmed Synchronous Gastrointestinal Stromal Tumor (GIST) with pancreatic adenocarcinoma: A case report
title_sort synchronous gastrointestinal stromal tumor (gist) with pancreatic adenocarcinoma: a case report
publisher Elsevier
publishDate 2022
url https://eprints.ums.edu.my/id/eprint/33740/1/Synchronous%20Gastrointestinal%20Stromal%20Tumor%20%28GIST%29%20with%20pancreatic%20adenocarcinoma_%20A%20case%20report.pdf
https://eprints.ums.edu.my/id/eprint/33740/2/Synchronous%20Gastrointestinal%20Stromal%20Tumor%20%28GIST%29%20with%20pancreatic%20adenocarcinoma_%20A%20case%20report%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/33740/
https://www.sciencedirect.com/science/article/pii/S204908012200348X
https://doi.org/10.1016/j.amsu.2022.103588
_version_ 1760231203041968128
score 13.211869

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