Skip to main content
SpringerLink
Log in

Synchronous lymphoma and adenocarcinoma occurring as a collision tumor in the stomach: Report of a case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We report herein the rare case of a 71-year-old man who was initially operated on under the diagnosis of advanced gastric cancer, but was subsequently found to have synchronous lymphoma and early adenocarcinoma of the stomach, confirmed by postoperative pathological examination. The patient had a history of lymphoma of the left tonsil, and histologically the gastric lymphoma was observed to be of the non-Hodgkin's, diffuse, large-cell type. Conversely, the gastric cancer was early well-differentiated tubular adenocarcinoma of type 0-IIa, according to the Japan Gastroenterological Endoscopy Society classification. The two tumors had collided at the fornix. The relationship between these two tumors is analyzed and the most appropriate methods of diagnosis and treatment are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Takagi K, Yamamoto H, Kishimoto H, Tujimoto K, Ninomiya K (1981) Malignant lymphoma of the stomach: Surgical treatment and its results (in Japanese with English abstract). I to Cho (Stomach Intestine) 16:493–501

    Google Scholar 

  2. Shiu MH, Karas M, Nisce L, Lee BJ, Filippa DA, Lieberman PH (1982) Management of primary gastric lymphoma. Ann Surg 195:196–202

    Google Scholar 

  3. Mohri N (1987) Primary gastric non-Hodgkin's lymphoma in Japan. Virchows Arch [A] 411:459–466

    Google Scholar 

  4. Jung SS, Wieman TJ, Lindberg RD (1988) Primary gastric lymphoma and pseudolymphoma. Am J Surg 54:594–597

    Google Scholar 

  5. Maeda S, Muro H, Shirasawa H, Chigira H, Kato T, Sano T, Suzuki M, Sakaguchi K, Okamoto K, Kito Y, Mokuno Y, Suzuki K (1992) Coexisting malignant lymphoma and adenocarcinoma of the stomach; A report of two cases (in Japanese with English abstract). Ganno Rinsho (Jpn J Cancer Clin) 38:703–707

    Google Scholar 

  6. Kasumi F, Takagi K, Kato H, Baba Y, Horikoshi N, Yoshikawa S (1979) Double malignancy (carcinoma and sarcoma) of the stomach (in Japanese). Rinsyo Geka (J Clin Surg) 34:105–115

    Google Scholar 

  7. Kasahara Y, Takemoto M, Morishita A, Kuyama T, Takahashi M, Kurenai T (1988) Coexisting adenocarcinoma and malignant lymphoma of the stomach: Case report and review of the Japanese literature. Am J Gastroenterol 2:190–193

    Google Scholar 

  8. Noda T, Akashi H, Matsueda S, Katsuki N, Shirahashi K, Kojiro M (1989) Collision of malignant lymphoma and multiple early adenocarcinoma of the stomach. Arch Pathol Lab Med 113:419–422

    Google Scholar 

  9. Jernstrom P, Murray GC (1966) Synchronous double primary lymphosarcoma and adenosarcoma (collision tumor) of the stomach with cancer-to-cancer metastasis. Cancer 19:60–66

    Google Scholar 

  10. Manier JW, Reyes CN (1974) Collision tumor of the stomach. Report of two cases. Gastroenterology 67:1011–1015

    Google Scholar 

  11. Kane EP, Weingarten LA, Payson BA, Mori K, Sarlin JG (1982) Synchronous ulcerating adenocarcinoma and malignant lymphoma of the stomach. Am J Gastroenterol 7:461–463

    Google Scholar 

  12. Planker M, Fischer JT, Peters U, Borchard F (1984) Synchronous double primary malignant lymphoma of low grade malignancy and early cancer (collision tumor) of the stomach. Hepatogastroenterology 31:144–148

    Google Scholar 

  13. Czerniak A, Lotan G, Engelberg IS, Rabau MY, Avigad I, Schacter P, Wolfstein I (1985) The simultaneous coexistence of adenocarcinoma and primary malignant lymphoma in the stomach. J Surg Oncol 30:42–45

    Google Scholar 

  14. Teh- BC, Hsueh- S (1989) Collision tumor of the stomach — a case report. Change Keng I Hsueh 12:167–173

    Google Scholar 

  15. Ioachim HL, Cooper MC, Hellman GC (1985) Lymphomas in men at high risk for acquired immune deficiency syndrome (AIDS). Cancer 56:2831–2842

    Google Scholar 

  16. Mouri A, Wakamoto A, Kai Y, Fujitani H, Tahara E (1976) Independent coexistence of leiomyosarcoma and carcinoma in the stomach (in Japanese with English abstract). I to Cho (Stomach Intestine) 11:461–465

    Google Scholar 

  17. Sakashita O, Kamada H, Nakamura S, Sagara S, Takeuchi Y (1977) Independent coexistence of advanced cancer and leiomyosarcoma in the same stomach (in Japanese with English abstract). I to Cho (Stomach Intestine) 12:807–813

    Google Scholar 

  18. Sakurai T, Mori S, Mohri N, Yamaguchi K, Shimamine T (1981) Problems on the histopathological diagnosis of biopsy specimens of primary gastric lymphomas. Jpn J Cancer Clin 27:32–36

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Second Department of Surgery, Hamamatsu University School of Medicine, 3600 Handa-cho, 431-31, Hamamatsu, Japan

    Nobuhiko Nishino, Hiroyuki Konno & Shozo Baba

  2. Department of Emergency Medicine, Hamamatsu University School of Medicine, 3600 Handa-cho, 431-31, Hamamatsu, Japan

    Katunori Aoki

  3. Department of Radiology, Hamamatsu University School of Medicine, 3600 Handa-cho, 431-31, Hamamatsu, Japan

    Tetsuo Nishimura

  4. First Department of Pathology, Hamamatsu University School of Medicine, 3600 Handa-cho, 431-31, Hamamatsu, Japan

    Tomio Arai & Isamu Kino

Authors
  1. Nobuhiko Nishino
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hiroyuki Konno
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shozo Baba
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Katunori Aoki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tetsuo Nishimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Tomio Arai
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Isamu Kino
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nishino, N., Konno, H., Baba, S. et al. Synchronous lymphoma and adenocarcinoma occurring as a collision tumor in the stomach: Report of a case. Surg Today 26, 508–512 (1996). https://doi.org/10.1007/BF00311557

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00311557

Key Words

Search

Navigation