A case of synchronous double cancers of the pancreas and stomach.

Abstract

Pancreatic cancer carries a poor prognosis, especially invasive ductal carcinoma of the pancreas. We present here the case of a 76-year-old man who developed synchronous double cancers of the stomach and pancreas. He was referred to our hospital in December, 1997, with a provisional diagnosis of carcinoma of the stomach. Laboratory data on admission showed normal levels except for the serum carcinoembryonic antigen level. Abdominal ultrasonography revealed a low echoic mass anterior to the pancreas, suggestive of a nodal metastasis. Intraoperative histological findings from the pancreatic nodule confirmed a primary pancreatic cancer. The diagnosis of double cancers of the stomach and pancreas was made, and subtotal gastrectomy and distal pancreatectomy with lymph nodes dissection were carried out. The histologic sections from the stomach showed a moderately differentiated tubular adenocarcinoma, whereas those from the pancreas showed a well to moderately differentiated tubular adenocarcinoma. Double carcinomas in this association are relatively rare.

• Authors: N Eriguchi, S Aoyagi, M Hara, K Okuda, T Tamae, S Fukuda, K Hashino, M Hashimoto, S Sato, S Furukawa, K Fujiki, A Jimi
• Journal: The Kurume medical journal (Kurume Med J) Vol. 47 Issue 2 Pg. 169-71 ( 2000) ISSN: 0023-5679 [Print] Japan
• PMID: 10948656 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Humans
• Male
• Neoplasms, Multiple Primary (diagnosis, pathology, surgery)
• Pancreatic Neoplasms (diagnosis, pathology, surgery)
• Stomach Neoplasms (diagnosis, pathology, surgery)