[A case of synchronous multiple primary cancers of the stomach and kidney].
In line with an increase in the incidence of multiple primary cancers, we have encountered a case of synchronous multiple primary cancers of the stomach and the left kidney. The patient, a 69-year-old male, visited our hospital after experiencing epigastric discomfort for three months. An advanced gastric cancer, Borrmann III type, was detected by endoscopic examination. Preoperative abdominal computed tomography also revealed a large low density mass occupying the upper part of the left kidney. On angiography, the left kidney showed a hypervascular mass, showing pooling and tumoral stains, thereby suggesting a renal cell carcinoma. The patient thus underwent a subtotal gastrectomy with an R2 lymph node dissection and a left radical nephrectomy. Histologically, the gastric lesion was a poorly-differentiated adenocarcinoma and the left renal lesion was a renal cell carcinoma of the clear cell type.
Azuma
T
T
Dept. of Surgery, Ueno City Hospital.
Koide
A
A
Asami
H
H
Kuroda
M
M
Yano
H
H
Honda
E
E
Senga
M
M
Hoonoki
S
S
D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000473:pathology* / Q000601:surgery; D005743:Gastrectomy; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D009378:Neoplasms, Multiple Primary; D009392:Nephrectomy; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery