tailieunhanh - A case report of double malignancy

A 65 year old female with complaints of upper abdomen pain for 3 months, associated with loss of appetite, h/o increase in micturition association of burning micturition. Ugiscopy suggestive of CA stomach and Ultrasound abdomen suggests polypodial lesion over the bladder. MRI suggests gastric malignancy and intense polypoid lesion seen in the posterior wall of the urinary bladder. Pt underwent TURBT (Transurethral Resection of Bladder Tumor) with subtotal gastrectomy with jejunojejunostomy with feeding jejunostomy. This is rare combination of tumors in a female patient, which requires multidisciplinary approach with timely interventions for her treatment. There is no consensus in the treatment of patient. Our patient was treated for each tumor according to its own stage with multimodality approach. | EXCELLENT PUBLISHERS International Journal of Current Microbiology and Applied Sciences ISSN 2319-7706 Volume 8 Number 03 2019 Journal homepage http Case Study https A Case Report of Double Malignancy T. Rathnaganpathi1 Siddharth2 Barathiraja3 and Ravi Shankar4 Department of General Surgery Sree Balaji Medical College and Hospital Chennai TN India Corresponding author ABSTRACT Keywords Double malignancy Polypoid lesion MRI Ulceroproliferative growth Article Info Accepted 25 February 2019 Available Online 10 March 2019 A 65 year old female with complaints of upper abdomen pain for 3 months associated with loss of appetite h o increase in micturition association of burning micturition. Ugiscopy suggestive of CA stomach and Ultrasound abdomen suggests polypodial lesion over the bladder. MRI suggests gastric malignancy and intense polypoid lesion seen in the posterior wall of the urinary bladder. Pt underwent TURBT Transurethral Resection of Bladder Tumor with subtotal gastrectomy with jejunojejunostomy with feeding jejunostomy. This is rare combination of tumors in a female patient which requires multidisciplinary approach with timely interventions for her treatment. There is no consensus in the treatment of patient. Our patient was treated for each tumor according to its own stage with multimodality approach. Introduction A 65 year old female hailing from thiruvanamalai came with the complaints of upper abdominal pain for three months on and off. Pain was Sudden onset intermittent in nature not radiating and no Aggravating factor relives spontaneously. H o vomiting 2 episodes mostly food as contains no h o nausea. H o Difficulty in swallowing solid food liquid food. h o loss of appetite No h o loss of weight h o constipation h o tarry black colored stools h o burning micturition h o increase in micturition and no other significant symptom. No history of smoking or alcohol and no family history. Results of physical .