Synchronous malignancy of stomach and kidney: an unusual combination: a case report

Authors

  • Shruti Chaturvedi Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  • Boopathi Subbarayan Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  • Saravanakumar Subbaraj Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  • Tirou Aroul Tirougnanassambandamourty Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  • Samuel Robinson Smile Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203815

Keywords:

Renal cell carcinoma, Gastric adenocarcinoma, Second primary malignancy

Abstract

Synchronous occurrence of primary gastric cancer with primary renal cell carcinoma (RCC) is exceedingly rare. We report a case of a 70 years old gentleman who presented with a history of epigastric fullness and tarry stools from 1 month, along with significant weight loss which he was unable to quantify. Esophagogastroduodenoscopy showed ulceroproliferative growth in the antropyloric region of stomach causing complete outlet obstruction. Histopathology revealed poorly differentiated mucinous adenocarcinoma. Contrast enhanced computed tomography (CECT) abdomen showed an asymmetrical circumferential growth in the antropyloric region leading to obstruction. A heterogeneously enhancing hypervascular mass was also visualized over the lower pole of left kidney with an initial impression of metastasis. A concomitant radical subtotal gastrectomy and radical left nephrectomy was performed. Pathological examination confirmed gastric adenocarcinoma (T4a) and renal cell carcinoma-RCC (T3a). Most of the operable synchronously occurring second primary malignancy (SPM) can be resected in a single stage.

Author Biography

Shruti Chaturvedi, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India

Department of General Surgery

Third year resident

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Published

2020-08-27

Issue

Vol. 7 No. 9 (2020): September 2020

Section

Case Reports