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Synchronous occurrence of gastrointestinal stromal tumors and other primary gastrointestinal neoplasms
Authors:Wronski Marek  Ziarkiewicz-Wroblewska Bogna  Gornicka Barbara  Cebulski Wlodzimierz  Slodkowski Maciej  Wasiutynski Aleksander  Krasnodebski Ireneusz W
Affiliation:1. Department of General and Gastroenterological Surgery and Nutrition, Warsaw University of Medicine, ul. Banacha 1A, 02-097 Warsaw, Poland
2. Department of Pathology, Warsaw University of Medicine, ul. Pawinskiego 7, 02-106 Warsaw, Poland
Abstract:AIM: To review clinical and pathologic features of Gas-trointestinal stromal tumors (GISTs) occurring synchro-nously with other primary gastrointestinal neoplasms.METHODS: Twenty-eight patients with primary GIST were treated at our institution between 1989 and 2005. Clinical and pathologic records were reviewed. RESULTS: The gastrointestinal stromal tumor occurred simultaneously with other primary GI malignancies in 14% of all patients with GIST. The synchronous stromal tumors were located in the stomach and were incidentally found during the operation. The coexistent neoplasms were colon adenocarcinoma, gastric cancer (2 cases) and gastric lymphoma.CONCLUSION: The synchronous occurrence of GISTs and other gastrointestinal malignancies is more common than it has been considered. The development of gastrointestinal stromal tumors and other neoplasms may involve the same carcinogenic agents.
Keywords:Gastrointestinal stromal tumors  Synchronous neoplasms
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