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Case Studies | General Surgery | India | Volume 12 Issue 7, July 2023

Double Trouble: Rare Case of Metachronous Gastric Carcinoma in a Resected Case of Periampullary Carcinoma

Mahak Goel | Mangipudi Surya Pratap | Azaz Akhtar Siddiqui

Abstract: Dual malignancies in an individual presenting at different times is of rare occurrence and management of such a case brings both, great amount of interest and challenge to the consulting surgeon. Survival of cancer patients is on improving trend globally and because of early detection techniques more and more cancers are brought to attention early to the surgeon. This is a case of 42 - year ? old gentleman status post Whipple?s Procedure done in view of periampullary carcinoma diagnosed in 2019, who presented to our surgery emergency with complaints of pain in central upper abdomen and multiple episodes of non - bilious vomiting (occurring 2 - 3 hours after meals) for last 2 months. On investigating further patient was diagnosed as having Grade 2 Adenocarcinoma of stomach. Feeding Jejunostomy was made for this patient and was planned for adjuvant chemotherapy. Our understanding of DNA and the mechanisms behind development of cancer is minuscule. The modalities that exist for management of malignancies can be both a boon as well as a bane for the patient as we saw in this case. Development of two primary malignancies in a patient who underwent surgical resection for first malignancy followed by chemoradiation is a rare incidence.

Keywords: Metachronous dual malignancy, periampullary carcinoma, adenocarcinoma of stomach

Edition: Volume 12 Issue 7, July 2023,

Pages: 501 - 504