A Case Report of the Primary Double Cancer of the Stomach and the Pancreas

Shuichiro Suzuki, Toyoichi Tsuzawa, Mitsuyoshi Shimoda, Isao Shirosaki, Katsuya Yamamoto, Ryousaku Nakashima, Toshio Saeki, Haruyo Otagiri, Kenji Tazawa, Masao Fujimaki

Second Department of Surgery, Toyama Medical and Pharmaceutical University

Gastric cancer combined with cancer of other organs is not rare. However, double cancer of the pancreas and stomach is relatively rare. There are few cases in which a resection can be perfomed for both cancers. We have encountered a case of double cancer of the stomach and pancreas in which a resection could be performed for both the gastric cancer and the pancreatic cancer. The case is a 56-years old man. Diagnosed as having a double cancer of the stomach and pancreas before the operation, he was underwent a surgical operation. A resection was performed consisting of total gastrectomy and combined resection of the pancreas and spleen. Irradiation in a dose of 40 Gy during the operation was applied mainly to the posterior detachment after the resection of the pancreatic cancer. With peritoneal recurrence at the 4th month and peritonitis carcinomatosa at the 9th month after the operation, the patient died. There are 9 reported cases of double cancer of the stomach and pancreas which perimitted curative operation including ours. Of these, only 4 cases were diagnosed as double cancer of the stomach and pancreas before operation. In the daily treatment and operation, we should try to carefully examine while always keeping cancer of other organs in mind.

Key words
primary double cancer of the stomach and the pancreas, pancreatic cancer, gastric cancer

Reprint requests
Shuichiro Suzuki Second Department of Surgery, Faculty of Medicine, Toyama Medical and Pharmaceutical University 2630 Sugitani, Toyama, 930-01 JAPAN

Accepted
November 8, 1989

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