caa a22 4500 475753577 CHVBK 20180406123531.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s005950070087 doi (NATIONALLICENCE)springer-10.1007/s005950070087 Synchronous multiple primary cancers of the stomach and duodenum in aged patients: Report of two cases [Elektronische Daten] [Shigemi Onoue, Takehito Katoh, Haruhiko Chigira, Koji Matsuo, Masaomi Suzuki, Yoshihisa Shibata, Matsuyoshi Maeda] We describe herein the cases of two aged patients found to have synchronous multiple primary cancers of the stomach and duodenum. The first patient was an 82-year-old man who was preoperatively diagnosed as having gastric cancer after presenting with signs of pyloric stenosis. At laparotomy, duodenal cancer was incidentally found to have infiltrated the transverse colon. A pancreatoduodenectomy and right hemicolectomy with radical lymph node dissection was performed. Two early well-differentiated adenocarcinomas of the stomach and an advanced poorly differentiated adenocarcinoma of the duodenum were confirmed. This patient is now well without any evidence of recurrence more than 5 years after surgery. The second patient was a 77-year-old man who was also diagnosed as having gastric cancer after presenting with signs of pyloric stenosis. Preoperatively, duodenal cancer was detected by endoscopy. A pancreatoduodenectomy and partial colectomy with radical lymph node dissection was performed because the duodenal cancer was suspected of having infiltrated the transverse colon. An early moderately differentiated adenocarcinoma of the stomach and an advanced moderately differentiated adenocarcinoma of the duodenum were confirmed, but the duodenal cancer was not seen to invade the transverse colon microscopically. This patient died of cancer 7 months after surgery. Because multiple primary cancers commonly develop in elderly patients, a precise preoperative diagnosis must be made and optimal treatment applied. Springer-Verlag, 2000 Multiple primary cancers nationallicence Gastric cancer nationallicence Duodenal cancer nationallicence Onoue Shigemi Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Katoh Takehito Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Chigira Haruhiko Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Matsuo Koji Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Suzuki Masaomi Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Shibata Yoshihisa Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Maeda Matsuyoshi Department of Pathology, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut Surgery Today Springer-Verlag 30/8(2000-08-01), 735-738 0941-1291 30:8<735 2000 30 595 https://doi.org/10.1007/s005950070087 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070087 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Onoue Shigemi Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 700 1- Katoh Takehito Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 700 1- Chigira Haruhiko Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 700 1- Matsuo Koji Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 700 1- Suzuki Masaomi Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 700 1- Shibata Yoshihisa Department of Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 700 1- Maeda Matsuyoshi Department of Pathology, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, 441-8085, Toyohashi, Aichi, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/8(2000-08-01), 735-738 0941-1291 30:8<735 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer