Synchronous Gastric Cancer and Primary Lymphoma of Right Adrenal Gland: a Case Report

Overview

Journal Clin J Gastroenterol

Specialty Gastroenterology

Date 2021 Jul 20

PMID 34283402

Citations 1

Authors

Shuichi Fukuda

Tomoko Wakasa

Hitoshi Hanamoto

Taichi Koyama

Yoshio Ohta

Masatoshi Inoue

Daisuke Terashita

Atsushi Gakuhara

Hideo Tomihara

Katsuya Ohta

Kotaro Kitani

Kazuhiko Hashimoto

Hajime Ishikawa

Jin-Ichi Hida

Yutaka Kimura

Affiliations

Soon will be listed here.

Abstract

This report presents an extremely rare case of synchronous gastric cancer and primary adrenal diffuse large B-cell lymphoma (DLBCL). An 82-year-old man underwent computed tomography, which revealed a heterogeneous appearing and hypodense adrenal mass and a gastric mass with no enlarged lymph nodes in the neck, mediastinum, abdomen, and inguinal region. Upper gastrointestinal endoscopy revealed a protruding gastric tumor. The specimens obtained from endoscopic biopsy were histologically confirmed to be adenocarcinoma. The hormonal findings eliminated functional adrenal tumor. The patient underwent distal gastrectomy with regional lymph node resection for gastric cancer and incisional biopsy of the adrenal mass. Based on the pathological findings, diagnoses of mixed mucinous and tubular adenocarcinomas of the stomach and adrenal DLBCL were confirmed. Postoperation, the patient received rituximab combined with low-dose doxorubicin, cyclophosphamide, vincristine, and prednisone (R-miniCHOP). Six courses of R-miniCHOP were planned, but were completed in only one course at the patient's request. The patient died 2 months after surgery.

Citing Articles

Synchronous Gastric Adenocarcinoma and Diffuse Large B-Cell Lymphoma in the Pelvis: A Rare Case Presentation.

Pliakou E, Lampropoulou D, Soupos N, Aravantinos G Case Rep Gastrointest Med. 2022; 2022:7535036.

PMID: 35529674 PMC: 9072052. DOI: 10.1155/2022/7535036.

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