Synchronous Occurrence of Gastric Carcinoma, Leiomyosarcoma, and Duodenal Ulcer

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Abstract
GASTRIC neoplasms and duodenal ulcer rarely occur together in the same patient in spite of their frequent occurrence individually. Multiple synchronous gastric neoplasms have also been reported only infrequently The presence of multiple lesions in the stomach and duodenum presents a special challenge to the physician. Coincidental occurrence suggests a relationship between the lesions, but this may be a fallacious assumption. Even less well founded is a tendency to ascribe causal relationships between them without clear evidence. The infrequency of certain combinations of lesions leads easily to the conclusion that the lesions are completely incompatible, which is equally apt to be fallacious. The following case involved the combination of three different lesions in the gastroduodenal area in the same patient. Report of a Case A 53-year-old white woman was admitted to the University of California, Los Angeles Hospital for evaluation of intermittent epigastric pain of five years' duration. She had

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