Abstract

MALDONADO GARCIA, Edwin Leopoldo  and  NACUD BEZIES, Yamir Ahmed. Synchronous cancer, gastric adenocarcinoma and renal cell cancer. Cir. gen [online]. 2019, vol.41, n.4, pp.294-299.  Epub Nov 27, 2020. ISSN 1405-0099.

We present the case of 68-year-old male, with abdominal distension, dyspepsia, progressive dysphagia from solids to liquids. A study protocol was started with contrast tomography with thickening of the antral and pyloric mucosa of 1.7 cm in addition to right renal tumor. High endoscopy is performed, which reports infiltrating gastric neoplasm (Borrmann II adenocarcinoma). Surgical intervention that was carried out: total gastrectomy, D1 lymphadenectomy, esophageal aneurysm with circular stapler and Roux-en-Y stapler with intravenous lateral-terminal anastomosis in addition to right radical nephrectomy. The diagnosis was made of gastric adenocarcinoma PT4AN1M0 EC IIIA and renal cell carcinoma variety chromophobe PT2N0M0 ECII. Synchronous cancer presentations in cancer patients are infrequent. The incidence of synchronous renal cell carcinoma with gastric cancer is quite low (0.11-0.37%). In our country, renal cancer accounts for 1.5% of all neoplasms. We present the case of a synchronous gastric cancer with a renal tumor of rare histological origin.

Keywords : Gastric adenocarcinoma; seal ring cells; renal cancer; chromophobe cells.