title: [A case of synchronous double primary cancer of gastric adenocarcinoma and diffuse large B cell lymphoma].
abstract: The simultaneous occurrence of primary gastric lymphoma and adenocarcinoma is rarely reported. We here report a case of synchronous double primary tumor of advanced gastric cancer and diffuse large B cell lymphoma. A 65-year-old woman underwent an esophagogastroduodenoscopy for the evaluation of abdominal discomfort of two months' duration. The endoscopic examination showed an ulcerating tumor in the gastric antrum and thickened folds in the fundus and the microscopic examination revealed an adenocarcinoma in the antrum and a diffuse large B-cell lymphoma in the fundus. She has had total gastrectomy and CHOP chemotherapy with rituximab. Since the cases of synchronous double primary gastric tumors have been increased on the recent medical advances, when a gastric tumor is detected for the endoscopic examination, an endoscopist has to make every endeavor not to miss another tumor in the stomach.
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea.
authors.forename: Soo Yuck
authors.initials: SY
authors.lastname: Park
authors.forename: Chang Soo
authors.initials: CS
authors.lastname: Eun
authors.forename: Young Sang
authors.initials: YS
authors.lastname: Byun
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Yoon
authors.forename: Yong Cheol
authors.initials: YC
authors.lastname: Jeon
authors.forename: Dong Soo
authors.initials: DS
authors.lastname: Han
authors.forename: Joo Hyun
authors.initials: JH
authors.lastname: Sohn
authors.forename: Young Ha
authors.initials: YH
authors.lastname: Oh
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000368:Aged; D058846:Antibodies, Monoclonal, Murine-Derived / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000627:therapeutic use; D004317:Doxorubicin / Q000627:therapeutic use; D016145:Endoscopy, Digestive System; D005260:Female; D005743:Gastrectomy; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D011241:Prednisone / Q000627:therapeutic use; D000069283:Rituximab; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014750:Vincristine / Q000627:therapeutic use
chemical_list: D058846:Antibodies, Monoclonal, Murine-Derived; D000069283:Rituximab; D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone