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A 57-year-old male presented with abdominal pain; endoscopy suggested gastric adenocarcinoma, while ultrasound, CT, endoscopic ultrasound, and MRI identified gallbladder and pancreatic head tumors with chronic pancreatitis and pancreatic stones. The patient underwent distal gastrectomy, cholecystectomy, and pancreaticoduodenectomy. Management requires coordinated decision-making, often via a tumor board.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/synchronous-tumors-of-gastric-carcinoma-combined-gallbladder-cancer-and-pseudotumor-chronic-pancreatitis-case-report/331932/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/synchronous-tumors-of-gastric-carcinoma-combined-gallbladder-cancer-and-pseudotumor-chronic-pancreatitis-case-report/331932.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What makes this case medically uncommon?","Question",{"text":112,"@type":113},"The document describes three simultaneous primary pathologies: synchronous gastric carcinoma and gallbladder cancer combined with pseudotumor chronic pancreatitis, a combination reported as rare and not previously documented in the literature.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the diagnosis established in this patient?",{"text":117,"@type":113},"Upper gastrointestinal endoscopy and biopsy indicated adenocarcinoma, and imaging (ultrasound/CT, endoscopic ultrasound, and MRI) identified gallbladder and pancreatic head tumors associated with chronic pancreatitis and pancreatic stones.",{"name":119,"@type":110,"acceptedAnswer":120},"What surgical procedures were performed?",{"text":121,"@type":113},"The treatment included distal gastrectomy, cholecystectomy, and pancreaticoduodenectomy to address tumors in the stomach, gallbladder, and pancreatic head.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},331932,1790066564,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","International Journal of Surgery Case Reports 116 (2024) 109344  \nContents lists available at ScienceDirect  \nInternational Journal of Surgery Case Reports  \njournal [homepage:](homepage: www.elsevier.com/locate/ijscr)[ www.elsevier.com/locate/ijscr](homepage: www.elsevier.com/locate/ijscr)  \n| Case report\u003Cbr>Synchronous tumors of gastric carcinoma combined gallbladder cancer and pseudotumor chronic pancreatitis\u003Cbr>Minh Thao Nguyena, b, Cong Thuan Dangc, Thi Huyen Thuong Nguyend, Quy Tran Ngo c, Anh Vu Pham b, e, *\u003Cbr>a Anatomy and Surgical Training Department, Hue University of Medicine and Pharmacy, Hue University, Hue City, Viet Nam\u003Cbr>b Department of Digestive Surgery, Hue University of Medicine and Pharmacy Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Viet Nam c Pathology Department, Hue University of Medicine and Pharmacy Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Viet Nam d Department of Gastrointestinal Endoscopy, Hue University of Medicine and Pharmacy Hospital, Hue University, Hue City, Viet Nam\u003Cbr>e Department of Surgery, Hue University of Medicine and Pharmacy, Hue University, Hue City, Viet Nam. |  |  | |\n| --- | --- | --- | --- |\n| A R T I C L E I N F O |  | A B S T R A C T |  |\n| Keywords:\u003Cbr>Gastric cancer Gallbladder cancer Pseudotumor\u003Cbr>Chronic pancreatitis Pancreaticoduodenectomy Case report |  | Introduction and importance: Synchronous primary cancers in the stomach and gallbladder were not previously reported in the medical literature. Pseudotumor pancreatitis was also described many years ago. It was misdiagnosed and required surgery for pancreatic head neoplasms.\u003Cbr>Presentation of case: A 57-year-old male patient went to our hospital for abdominal pain. He was indicated for gastroduodenal endoscopy, and the result was adenocarcinoma. Abdominal ultrasound and Ctscan detected the gallbladder fundus's localized thickening structure and the pancreatic head's hyperechoic structure. The endoscopic ultrasound and MRI showed a gallbladder + pancreatic head tumor with chronic pancreatitis with pancreatic stones. The patient underwent distal gastrectomy, cholecystectomy, and pancreaticoduodenectomy. Clinical discussion: The detection of gastric cancer is often based on upper gastrointestinal endoscopy and biopsy results. Gallbladder cancer is often diagnosed at an advanced stage, and only very few patients are diagnosed early. Pancreatic cancer often occurs in the head of the pancreas. Symptoms may include obstruction of the common bile and Wirsung duct, often in advanced stages. Surgery for the gallbladder, distal stomach, and head of pancreatic tumors are related to each other located in a neighboring location in the anatomy, so surgery to remove all three tumors is relatively similar to a pancreaticoduodenectomy procedure.\u003Cbr>Conclusion: Synchronous tumors of gastric carcinoma combined with gallbladder cancer and pseudotumor chronic pancreatitis are rare. The attitude of treating these three diseases at the same time requires a tumor board. Simultaneous surgery for gallbladder, stomach, and pancreatic head tumors can be performed if the tumors are still in the resectable stage. |  |\n\n1. Introduction and importance  \nSynchronous primary cancers in the stomach and gallbladder have not previously been reported in the medical literature. Stomach cancer is a common malignancy, ranking sixth among diagnosed cancers worldwide, accounting for 5.6 % of all prevalent cancers, as reported in GLOBOCAN 2020 [1]. Gallbladder cancer ranks 25th among cancers according to GLOBOCAN 2020, accounting for 0.6 % of cancers in both genders [1]. Some cases are diagnosed with gallbladder metastasis from gastric cancer [2,3]. Gastric cancer associations worldwide, such as the  \nJapanese Gastric Cancer Association and the National Comprehensive Cancer Network, have provided many guidelines for diagnosing and treating gastric cancer [4,5]. The treatment of gallbladder can","cbCaimzyhuscT44l","https://ap.wps.com/l/cbCaimzyhuscT44l","pdf",2424881,"English","# Introduction and importance\n# Presentation of case\n# Clinical discussion\n# Conclusion","[{\"question\":\"What makes this case medically uncommon?\",\"answer\":\"The document describes three simultaneous primary pathologies: synchronous gastric carcinoma and gallbladder cancer combined with pseudotumor chronic pancreatitis, a combination reported as rare and not previously documented in the literature.\"},{\"question\":\"How was the diagnosis established in this patient?\",\"answer\":\"Upper gastrointestinal endoscopy and biopsy indicated adenocarcinoma, and imaging (ultrasound/CT, endoscopic ultrasound, and MRI) identified gallbladder and pancreatic head tumors associated with chronic pancreatitis and pancreatic stones.\"},{\"question\":\"What surgical procedures were performed?\",\"answer\":\"The treatment included distal gastrectomy, cholecystectomy, and pancreaticoduodenectomy to address tumors in the stomach, gallbladder, and pancreatic head.\"}]","Synchronous tumors of gastric carcinoma combined gallbladder cancer and pseudotumor chronic pancreatitis - Case report | PDF",1789995818,15]