title: Synchronous gastric and colonic cancer--A case report.
abstract: BACKGROUND
  Synchronous gastric and colorectal cancer is present in 4% of cases, commonly as additional finding. This is the case of invasive, synchronous gastric and sigmoid colon cancer.
  
  
  METHODS
  A 63-years-old male patient admitted to our institution complaining on pains in epigastrium, vomiting, rapid weight loss and occasional constipation. Using the method of esophagogastroduodenoscopy (EGD) the presence of ulcero-infiltrative tumor of gastric fundus was verified, and colonoscopy revealed stenosing tumor of sigmoid colon. Undergoing a multislice computed tomography (MSCI) of the thorax and the abdomen the changes on the patient's right lung appeared, while video-assisted thoracoscopy (VATS) and biopsy of the right lung excluded malignant dissemination. A total gastrectomy with omentectomy, splenectomy, D2 lymphadenectomy and typical left hemicolectomy were also performed. Histopathological examination verified invasive, diffuse gastric adenocarcinoma and invasive, tubular colon adenocarcinoma. The patient underwent systemic postoperative chemotherapy. Two years after the surgical procedure, the patient is alive, with no signs of recidivism.
  
  
  CONCLUSIONS
  In patients with symptomatology which does not correspond to primary malignancy, just like in the presented case, additional diagnostics is required. Combined resection is adequate surgical procedure for synchronous gastric and colonic cancer.
authors.forename: Trifunović
authors.initials: T
authors.lastname: Bratislav
authors.forename: Nešković
authors.initials: N
authors.lastname: Branimir
authors.forename: Bezmarević
authors.initials: B
authors.lastname: Mihailo
authors.forename: Kršić
authors.initials: K
authors.lastname: Jovan
authors.forename: Milić
authors.initials: M
authors.lastname: Veljović
authors.forename: Zeljković
authors.initials: Z
authors.lastname: Dejan
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D001706:Biopsy; D002454:Cell Differentiation; D017024:Chemotherapy, Adjuvant; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000473:pathology* / Q000601:surgery; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome