Abstract
A past history of sporadic solid cancers is disclosed in 10% of gastrointestinal stromal tumor (GIST) patients. Simultaneous occurrence with other malignancies is encountered in 14 to 16%, but the synchronous occurrence of GIST and hepatocellular carcinoma (HCC) has been reported only once in the English literature. An 81-year-old male patient is presented with a preoperatively known HCC, in whom a synchronous small nodular omental GIST adjacent to the lesser curvature of the stomach was incidentally discovered. When a GIST is encountered, a thorough intraoperative investigation of the abdominal cavity currently remains the only reliable method for detection of a possible coexisting malignancy.
MeSH terms
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Aged, 80 and over
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Carcinoma, Hepatocellular / complications*
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Carcinoma, Hepatocellular / diagnosis
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Carcinoma, Hepatocellular / pathology
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Carcinoma, Hepatocellular / surgery
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Catheter Ablation
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Diagnosis, Differential
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Gastrointestinal Stromal Tumors / complications*
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Gastrointestinal Stromal Tumors / diagnosis
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Gastrointestinal Stromal Tumors / pathology
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Gastrointestinal Stromal Tumors / surgery
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Humans
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Liver Neoplasms / complications*
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Liver Neoplasms / diagnosis
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Liver Neoplasms / pathology
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Liver Neoplasms / surgery
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Male
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Omentum / pathology
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Peritoneal Neoplasms / complications*
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Peritoneal Neoplasms / diagnosis
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Peritoneal Neoplasms / pathology
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Peritoneal Neoplasms / surgery
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Proto-Oncogene Proteins c-kit / analysis
Substances
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Proto-Oncogene Proteins c-kit