Tumor de reto e cárdia sincrônicos: relato de caso e revisão da literatura

Jara, Robson Luis Silveira; Santos, Carlos Henrique Marques dos; Alves, Leonardo Pereira; Miiji, Luciana Nakao Odashiro

doi:10.1590/s0101-98802007000100011

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Na literatura, muitas combinações de tumores sincrônicos do trato gastrointestinal são relatadas como as de cárdia e reto (4) , adenocarcinoma e GIST gástricos (5) , esôfago e cólon, esôfago e estômago etc. Encontramos apenas um caso semelhante ao aqui relatado, então publicado em 1988 no Japão, sendo o primeiro caso de adenocarcinoma sincrônico de esôfago e reto daquele país (6) .…”

Section: Discussionunclassified

Adenocarcinoma sincrônico de esôfago e reto: relato de caso / Synchronous adenocarcinoma of esophagus and rectum: case report

Martins¹,

Gusmão²,

Grynszpan³

et al. 2018

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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Relatamos caso raro de paciente com 69 anos que desenvolveu dois tumores sincrônicos do trato gastrointestinal, localizados em topografia de esôfago e reto, com diagnóstico simultâneo. A paciente foi submetida a sessões de radioterapia combinada com tratamento quimioterápico e aguarda esofagectomia subtotal com esofagogastroplastia programadas, com posterior abordagem cirúrgica da região colorretal.Descritores: Neoplasias primárias múltiplas, Trato gastrointestinal, Neoplasias esofágicas, Neoplasias colorretais, Adenocarcinoma, Esôfago/patologia, Reto/patologia

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Section: Discussionunclassified

Adenocarcinoma sincrônico de esôfago e reto: relato de caso / Synchronous adenocarcinoma of esophagus and rectum: case report

Martins¹,

Gusmão²,

Grynszpan³

et al. 2018

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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“…The standard surgical treatment for multiple primary tumors is the curative resection of each individual tumor, when it is feasible [2,7] . The prognostic of multiple tumors can be independently defined by the stage of each tumor isolate [10] . The therapy and the follow-up of these patients must follow the standard guidelines for each tumor.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder and Rectal Synchronous Adenocarcinoma: Case Report

Ishak

Montenegro

Moreira-Nunes³

et al. 2014

Journal of Gastroenterology and Hepatology Research

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Synchronous tumors in both the rectum and the gallbladder are extremely rare. This study reports a case of gallbladder and rectal synchronic tumors, histopathologically confirmed, and discusses the therapeutic strategies in managing multiple primary cancers. Patient files from the Patient Files and Statistical Department of the University Hospital João de Barros Barreto and review of English literature were analyzed. Data from a case of a 69-year-old female patient with compressive vaginal and anal pain, constipation, and hematochezia were reviewed. Rectal touch evidenced a vegetating and infiltrative tumoral lesion, and colonoscopy demonstrated an elevated, vegetating, and infiltrative lesion. The histopathological analyses confirmed a moderately differentiated adenocarcinoma. A preoperative computer tomography scan was negative for metastasis investigation and, as an incidental finding, demonstrated cholelithiasis. The histological evaluation of the surgical specimens demonstrated rectal cancer, gallbladder cancer, and also hepatic metastasis. Due to the presence of hepatic and rectal cancer metastases, the standard management of the gallbladder cancer was modified according to the general concept that radical treatment of synchronous tumors should be reserved to situations were all tumors can be treated curatively or can improve life expectancy. Primary gallbladder and rectal synchronous neoplasms are rare and the treatment must be specific to each tumor, following the guidelines of each cancer whenever feasible. In case of metastasis or advanced stages of the disease, the treatment strategies must consider the most advanced tumor and/or the worst prognosis, and aggressive procedures must be avoided when it is not possible to radically treat every synchronous tumor.

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“…Synchronization between intestinal neoplasms is frequent, especially in the case of sigmoid colon adenocarcinoma, and it should always be investigated 10,11 . The incidence of a second synchronous neoplasm with sigmoid colon adenocarcinoma, regardless of the histological type and the location in the gastrointestinal tract, ranges between 1 and 6.8% in general population 10 .…”

Section: Discussionmentioning

confidence: 99%

Non-Hodgkin lymphoma as a cause of acute intestinal obstruction/perforation in patients with adenocarcinoma of the sigmoidcolon: a case report

Basso¹,

Christiano²,

Guerrer³

et al. 2011

J. Coloproctol. (Rio J.)

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Report of a rare case of an 83-year-old patient with lymphoma of the terminal ileum causing obstructive/perforated acute abdomen synchronous with sigmoid colon adenocarcinoma and review of literature data about small bowel malignancies, particularly lymphomas. It seems to correspond to a rare disease (2% of all bowel cancers), more prevalent in elderly and immunocompromised patients, whose symptoms are vague and early diagnosis is difficult, often making it impossible to establish the correct therapy.
Relato de caso raro de um paciente de 83 anos, com linfoma de íleo terminal causador de abdome agudo obstrutivo/perfurativo sincrônico à adenocarcinoma de cólon sigmoide e revisão dos dados disponíveis na literatura acerca das neoplasias de intestino delgado, em especial os linfomas. Constata-se que corresponde a uma afecção rara (2% de todas as neoplasias intestinais), mais predominante em pacientes idosos e imunodeprimidos, cuja sintomatologia é vaga e o diagnóstico precoce difícil, fato que impossibilita muitas vezes a instituição da terapêutica correta

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Tumor de reto e cárdia sincrônicos: relato de caso e revisão da literatura

Cited by 4 publications

References 5 publications

Adenocarcinoma sincrônico de esôfago e reto: relato de caso / Synchronous adenocarcinoma of esophagus and rectum: case report

Adenocarcinoma sincrônico de esôfago e reto: relato de caso / Synchronous adenocarcinoma of esophagus and rectum: case report

Gallbladder and Rectal Synchronous Adenocarcinoma: Case Report

Non-Hodgkin lymphoma as a cause of acute intestinal obstruction/perforation in patients with adenocarcinoma of the sigmoidcolon: a case report

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