Houssam BELGHALİ, Anas BELHAJ, Karim IBN MAJDOUB, İmane TAUGHRAİ, Khalid MAZAZ

Jejunum ve sigmoidal adenokarsinomun gastrointestinal stromal tümörlerinin senkron ilişkisi: Olgu sunumu

Sindirim kanalının epitelyal tümörü ile gastrointestinal stromal tümörün (GIST) birlikteliği çok nadirdir ve sindirim karsinomunun cerrahi tedavisi sırasında sıklıkla tesadüfen keşfedilmiştir. Mezenşimden gelişen bu tümörlerin, düşük malignite potansiyelleri göz önüne alındığında iyi bir prognoza sahip oldukları bilinmektedir. Bir genetik mutasyonun veya farklı histotiplerin tümörlerini indükleyebilen onkojenik bir maddenin olasılığı daha az akla yatkın görünmektedir, ancak yadsınamaz. Biz histolojisi bir GIST tanısı doğrulayan ince bağırsak tümörünün tesadüfen keşfiyle, sigmoid adenokarsinom için ameliyat edilen 74 yaşında bir hastayı sunuyoruz.

Anahtar Kelimeler:

Senkron tümörler, Gastrointestinal stromal tümör, Adenokarsinom, Sindirim sistemi

Synchronous association of gastrointestinal stromal tumors of the jejunum and sigmoidal adenocarcinoma: A case report

The association of a gastrointestinal stromal tumor (GIST) with an epithelial tumor of the digestive tract is very rare and frequently discovered by chance during the surgical treatment of digestive carcinoma. These tumors developed from the mesenchyme are known to have a good prognosis given their low malignancy potential. The possibility of a genetic mutation or an oncogenic agent capable of inducing tumors of different histotypes seems less plausible but it is not to be discarded. We report the case of a 74-year-old patient, operated for a sigmoid adenocarcinoma, with incidental discovery of a small bowel tumor whose histology confirmed the diagnosis of a GIST.

Keywords:

Synchronous tumors, Gastrointestinal stromal tumor, Adenocarcinoma, Digestive tract,

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