title: Laparoscopic resection of synchronous gastric cancer and primary small intestinal lymphoma: a case report.
abstract: Synchronous gastric cancer and primary small intestinal lymphoma are extremely rare. A 49-year-old woman was referred to our hospital with a history of upper abdominal pain for two weeks and was diagnosed with synchronous cancer. During hospitalization, the patient underwent laparoscopic distal gastrectomy + resection of bilateral ovaries + partial resection of both small intestine and descending colon. Pathological examination revealed a synchronous cancer consisting of early gastric cancer with poorly differentiated adenocarcinoma located in mucosa, with lymph node metastasis (3+/29) (T1N1M0, stage IB); and diffuse large B cell lymphoma of small intestine involving descending colon and bilateral ovaries, with lymph node metastasis (2+/5) (Ann Arbor IIE). The patient recovered well, without any obvious complications and was discharged on post-operative day 7. The patient received six cycles of chemotherapy after operation. She has been doing well with no evidence of recurrence for 13 mo.
authors.affiliation: Ding-Wei Chen, Yu Pan, Jia-Fei Yan, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Ding-Wei
authors.initials: DW
authors.lastname: Chen
authors.affiliation: Ding-Wei Chen, Yu Pan, Jia-Fei Yan, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Pan
authors.affiliation: Ding-Wei Chen, Yu Pan, Jia-Fei Yan, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Jia-Fei
authors.initials: JF
authors.lastname: Yan
authors.affiliation: Ding-Wei Chen, Yu Pan, Jia-Fei Yan, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Mou
mesh_terms: D015746:Abdominal Pain; D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003106:Colon / Q000473:pathology; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy; D008207:Lymphatic Metastasis; D008223:Lymphoma / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000601:surgery*; D010053:Ovary / Q000473:pathology; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery*
chemical_list: D000970:Antineoplastic Agents
keywords: Gastric cancer; Multiple primary cancers; Primary small intestinal lymphoma; Synchronous