SYNCHRONOUS GASTRIC ADENOCARCINOMA AND GASTRIC PRIMARY FOLLICULARLYMPHOMA AS A COLLISION TUMORS IN THE STOMACH CASE REPORT

The simultaneous association of epithelial and lymphoid tumour of the digestive tract is extremely rare it is most often a collision tumor combining the synchronization of adenocarcinoma end B lymphoma. We report the observation of a 45-year-old patient without a history who was hospitalized for management of adenocarcinoma of the sub-cardial region stomach. The patient was benefited on chemotherapy according to FLOT protocol and then had a total gastrectomy and Roux-en-Y oesophagojejunostomy on laparoscopic the result of the histological study showed a well differentiated adenocarcinoma and incidentally lymphoid proliferation has small nodular architecture cells whose immunohistochemistry study was in favour of gastric and ganglionic lymphoma type B. The patients postoperative course was uneventful.