title: [Synchronous multiple gastric adenocarcinoma: a clinical case].
abstract: The Authors present a case of synchronous double gastric carcinoma in a 75-year-old man. Synchronous multiple gastric carcinoma (SMGC) constitutes 4% to 10% of all gastric cancers. It exhibits several clinicopathological characteristics that differ from those of solitary cancers: SMGC occurs in older people (men more than women); early carcinoma is observed more frequently in SMGC than in solitary cancers; the rate of intestinal type lesions is higher in multiple than in single gastric carcinoma. With regard to the pathogenesis of multiple gastric cancer, the theory proposing a multicentric or independent origin rather than the local or distant spread of one cancer (multifocality) has been favored.
authors.affiliation: I Clinica Chirurgica, Università degli Studi La Sapienza di Roma.
authors.forename: I
authors.initials: I
authors.lastname: Palmieri
authors.forename: D
authors.initials: D
authors.lastname: Angelini
authors.forename: F D
authors.initials: FD
authors.lastname: Mostacci
authors.forename: A
authors.initials: A
authors.lastname: Gallo
authors.forename: F
authors.initials: F
authors.lastname: Piro
authors.forename: F
authors.initials: F
authors.lastname: Puntillo
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery