IP Archives of Cytology and Histopathology Research
Official Publication of Khyati Education and Research Foundation
Official Publication of Khyati Education and Research Foundation
Print ISSN: 2581-5725
Online ISSN: 2456-9267
CODEN : IACHCL
IP Archives of Cytology and Histopathology Research (ACHR) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...Case Report
Author Details :
Volume : 5, Issue : 2, Year : 2020
Article Page : 180-182
https://doi.org/10.18231/j.achr.2020.038
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,
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
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