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CC BY 4.0 · Brazilian Journal of Oncology 2023; 19: e-20220361
DOI: 10.5935/2526-8732.20220361
Case Report
Surgical Oncology

Chondrosarcoma metastasis simulating a primary stomach tumor: a case report

Metástase de condrossarcoma simulando tumor primário de estômago: relato de caso
Kevyn Alisson Nascimento Gurgel 
1   Federal University of Ceará (UFC), Department of Surgery, Fortaleza - Ceará, Brazil
,
Paulo Henrique Silva Nunes
1   Federal University of Ceará (UFC), Department of Surgery, Fortaleza - Ceará, Brazil
,
Davi Teixeira de Macedo
1   Federal University of Ceará (UFC), Department of Surgery, Fortaleza - Ceará, Brazil
,
Clarice Sampaio Torres
1   Federal University of Ceará (UFC), Department of Surgery, Fortaleza - Ceará, Brazil
,
Maria do Perpetuo Socorro Saldanha da Cunha
2   Cancer Institute of Ceará, Deparment of Pathology, Fortaleza - Ceará, Brazil
,
Diego Costa de Almeida
3   Walter Cantídio Universitary Hospital, Department of Surgical Oncology, Fortaleza - Ceará, Brazil
,
Renato Mazon Lima Verde Leal
3   Walter Cantídio Universitary Hospital, Department of Surgical Oncology, Fortaleza - Ceará, Brazil
,
Marcelo Leite Vieira Costa
3   Walter Cantídio Universitary Hospital, Department of Surgical Oncology, Fortaleza - Ceará, Brazil
› Author Affiliations Financial support: None to declare.
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ABSTRACT

Gastric tumors are an important cause of cancer deaths. The main type is the primary gastric adenocarcinoma, and rarely secondary metastatic implants can be present. A 79-years-old woman sought medical attention due to a complaint of epigastralgia, unintentional weight loss, two cases of melena in the past two months, and a prior history of a chondrosarcoma of the thigh treated 13 years before. A neoplastic lesion was detected at the stomach during evaluation, and a gastrectomy was opted as a treatment. The immunohistochemical evaluation was compatible with a chondrosarcoma metastatic implant on the stomach. The patient obtained a survival superior to 5 years after surgery. Only one case of gastric metastasis from chondrosarcoma was described in the literature. We observed a great benefit in the use of surgical resection of the gastric lesion, showing that surgery may be considered in selected individuals with chondrosarcoma metastasis.

RESUMO

Os tumores gástricos são uma importante causa de mortes por câncer. O principal tipo de tumor é o adenocarcinoma gástrico primário, e raramente implantes metastáticos secundários podem estar presentes. Mulher de 79 anos procurou atendimento médico por queixa de epigastralgia, emagrecimento não intencional, dois casos de melena nos últimos dois meses e história prévia de condrossarcoma de coxa tratado há 13 anos. Durante a avaliação foi detectada lesão neoplásica no estômago e optou-se pela gastrectomia como tratamento. A avaliação imuno-histoquímica foi compatível com implante metastático de condrossarcoma no estômago. A paciente obteve sobrevida superior a 5 anos após a cirurgia. Apenas um caso de metástase gástrica de condrossarcoma foi descrito na literatura. Observamos um grande benefício no uso da ressecção cirúrgica da lesão gástrica, mostrando que a cirurgia pode ser considerada em indivíduos selecionados com metástase de condrossarcoma.

Keywords:

Chondrosarcoma - Gastrointestinal hemorrhage - Stomach neoplasms - Gastrectomy

Descritores:

Condrossarcoma - Hemorragia gastrointestinal - Neoplasias do estômago - Gastrectomia


Publication History

Received: 15 July 2022

Accepted: 05 November 2022

Article published online:
12 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Kevyn Alisson Nascimento Gurgel, Paulo Henrique Silva Nunes, Davi Teixeira de Macedo, Clarice Sampaio Torres, Maria do Perpetuo Socorro Saldanha da Cunha, Diego Costa de Almeida, Renato Mazon Lima Verde Leal, Marcelo Leite Vieira Costa. Chondrosarcoma metastasis simulating a primary stomach tumor: a case report. Brazilian Journal of Oncology 2023; 19: e-20220361.
DOI: 10.5935/2526-8732.20220361
 

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