A Collision Tumor Composed of a Granulocytic Sarcoma and an Adenocarcinoma of the Stomach - A Case Report -
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Granulocytic sarcoma, also called chloroma or myeloblastoma, is an extramedullary invasive tumor composed of neoplastic myeloid cells. In this report, we describe a 43-year-old male patient with a collision tumor composed of an adenocarcinoma and a granulocytic sarcoma in the stomach. The coexistence of a granulocytic sarcoma and adenocarcinoma in the stomach has, to the best of our knowledge, not been reported in the literature. The diagnosis of granulocytic sarcoma is very difficult; especially in the absence of concurrent hematologic disease or in the uncommon setting of coexistence with another tumor. Cautious observation is needed when a finding of unusual atypical cells admixed with an adenocarcinoma in the stomach is confronted.
Abstract
Granulocytic sarcoma, also called chloroma or myeloblastoma, is an extramedullary invasive tumor composed of neoplastic myeloid cells. In this report, we describe a 43-year-old male patient with a collision tumor composed of an adenocarcinoma and a granulocytic sarcoma in the stomach. The coexistence of a granulocytic sarcoma and adenocarcinoma in the stomach has, to the best of our knowledge, not been reported in the literature. The diagnosis of granulocytic sarcoma is very difficult; especially in the absence of concurrent hematologic disease or in the uncommon setting of coexistence with another tumor. Cautious observation is needed when a finding of unusual atypical cells admixed with an adenocarcinoma in the stomach is confronted.
참고문헌 (20)
- Chennareddy SB, "Gastric granulocytic sarcoma as a cause of acute upper gastrointestinal bleeding", Am J Gastroenterol, 91, pp.609~611 (1996)
- Neiman RS, "Granulocytic sarcoma: a clinicopathologic study of 61 biopsied cases", Cancer, 48, pp.1426~1437 (1981)
- Wong KF, "Granulocytic sarcoma presenting as bleeding gastric polyp", Pathology, 21, pp.63~64 (1989)
- Yamauchi K, "Comparison in treatments of nonleukemic granulocytic sarcoma: report of two cases and a review of 72 cases in the literature", Cancer, 94, pp.1739~1746 (2002)
- Koehler M, "Granulocytic sarcoma of the stomach", Gastrointest Endosc, 48, pp.190~ (1998)
- Brugo EA, "Preleukemic granulocytic sarcomas of the gastrointestinal tract: report of two cases", Am J Clin Pathol, 68, pp.616~621 (1977)
- Nakamura S, "Synchronous and metachronous primary gastric lymphoma and adenocarcinoma: a clinicopathological study of 12 patients", Cancer, 79, pp.1077~1085 (1997)
- Morishita Y, "Gastric collision tumor (carcinoid and adenocarcinoma) with gastritis cystica profunda", Arch Pathol Lab Med, 115, pp.1006~1010 (1991)
- Dundas SA, "Gastric adenocarcinoleiomyosarcoma: a light, electron microscopic and immunohistological study", Histopathology, 13, pp.347~350 (1988)
- Matsukuma S, "Gastric stump carcinosarcoma with rhabdomyosarcomatous differentiation", Pathol Int, 47, pp.73~77 (1997)
- Liu SW, "Collision tumor of the stomach: a case report of mixed gastrointestinal stromal tumor and adenocarcinoma", J Clin Gastroenterol, 35, pp.332~334 (2002)
- Noda T, "Collision of malignant lymphoma and multiple early adenocarcinomas of the stomach", Arch Pathol Lab Med, 113, pp.419~422 (1989)
- Lazaris AC, "Coexistence of a granulocytic sarcoma and adenocarcinoma of the rectum", Am J Gastroenterol, 96, pp.615~616 (2001)
- Menasce LP, "Extra-medullary myeloid tumour (granulocytic sarcoma) is often misdiagnosed: a study of 26 cases", Histopathology, 34, pp.391~398 (1999)
- Corpechot C, "Granulocytic sarcoma of the jejunum: a rare cause of small bowel obstruction", Am J Gastroenterol, 93, pp.2586~2588 (1998)
- Dabbagh V, "Granulocytic sarcoma of the rectum: a rare complication of myelodysplasia", J Clin Pathol, 52, pp.865~866 (1999)
- Derenzini E, "Extramedullary myeloid tumour of the stomach and duodenum presenting without acute myeloblastic leukemia: a diagnostic and therapeutic challenge", Leuk Lymphoma, 49, pp.159~162 (2008)
- Evans C, "Perforation of an unsuspected cecal granulocytic sarcoma during therapy with granulocyte-macrophage colony-stimulating factor", N Engl J Med, 322, pp.337~338 (1990)
- Meis JM, "Granulocytic sarcoma in nonleukemic patients", Cancer, 58, pp.2697~2709 (1986)
- Suh YK, "Synchronous Hodgkin’s disease and granulocytic sarcoma with no prior therapy", Hum Pathol, 27, pp.1103~1106 (1996)
