Double synchronous primary gastric and thyroid cancer

Authors

  • Abdulhakeem Almasood Department of Surgery, Prince Sultan Military Medical City, Riyadh, KSA
  • Mohammed Hussain Department of Surgery, Prince Sultan Military Medical City, Riyadh, KSA
  • Mohammed Aljabali Department of Surgery, Prince Sultan Military Medical City, Riyadh, KSA
  • Bandar Idrees Ali Department of Surgery, Prince Sultan Military Medical City, Riyadh, KSA

DOI:

https://doi.org/10.18203/2349-2902.isj20203264

Keywords:

Gastric adenocarcinoma, Second primary neoplasms, Thyroid carcinoma, Subsequent malignant neoplasm, Synchronous, Surgical treatment

Abstract

Second or multiple primary malignancies is very rare and the number of patients diagnosed with multiple primary cancers has recently been increasing due to the improved diagnostic techniques. Herein we report a very rare case of synchronous double primary cancer of the stomach and thyroid gland for the 39 years old lady who presented with a short period of abdominal pain were diagnosed to have an invasive adenocarcinoma with signet ring differentiation of the stomach by gastroscopy and biopsy. Computed tomography and positron emission tomography scan showed high fludeoxyglucose uptake of the thyroid gland were biopsied to confirm the malignancy. underwent initially for radical distal gastrectomy followed by adjuvant chemotherapy and interval total thyroidectomy. Although Synchronous tumors are defined as ≥2 primary tumors occurring within 6 months of diagnosis of the first primary tumor, our case was discovered concomitantly at the first presentation of the patient. The prognosis of patients with multiple primary cancers can be determined independently by the stage of each cancer.

Author Biography

Abdulhakeem Almasood, Department of Surgery, Prince Sultan Military Medical City, Riyadh, KSA

Consultant surgeon

References

Minni F, Casadei R, Marrano N. Second tumors in patients with malignant neoplasms of the digestive apparatus. A retrospective study of 2406 cases. Ann Ital Chir. 2005;76(5):467-72.

Lee JH, Bae JS, Ryu KW, Lee JS, Park SR, Kim CG, et al. Gastric cancer patients at high-risk of having synchronous cancer. World J Gastroenterol. 2006;12:2588-92.

Lee JS, Moon W, Park SJ. Triple synchronous primary cancers of the rectum, thyroid, and uterine cervix detected during the workup for hemato-chezia. Internal Med. 2010;49(16):1745-7.

Hsu CH, Huang CL, Hsu YH. Co-occurrence of second primary malignancy in patients with thyroid cancer. QJM. 2014;107:643-8.

Oh SJ, Bae DS, Suh BJ. Synchronous triple primary cancers occurring in the stomach, kidney, and thyroid. Ann Surg Treat Res. 2015;88:345-8.

Kim JS, Chung CY, Park HC, Myung DS, Cho SB, Lee WS, et al. Synchronous quadruple primary tumors of thyroid, breast, pancreas, and stomach: a case report. Anti-cancer Res. 2013;33:2135-8.

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Published

2020-07-23

Issue

Section

Case Reports