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September 14, 2026Discover OncologyOpen Access

Synchronous carcinoma of the anal canal and stomach presenting as severe anemia: a case report

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Authors

MPManoj Narayan PragasamDCDr Karikal ChakaravarthiTCTharun Ganapathy Chitrambalam

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Overview

Case report demonstrates synchronous anal and gastric cancers in a 56-year-old female, highlighting the need for complete gastrointestinal evaluation in severe anemia.

Key Points

  • Describe an exceptionally rare clinical case of synchronous anal canal squamous cell carcinoma and gastric adenocarcinoma presenting with severe anemia.
  • Clinical, laboratory, endoscopic, and histopathological evaluation of a 56-year-old female presenting with rectal bleeding and severe pallor (N=1).
  • Disease staging using 18F-fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET-CT).
  • Laboratory testing identified profound anemia with a hemoglobin level of 5 g/dL.
  • Endoscopic biopsies confirmed synchronous gastric adenocarcinoma of the antrum and squamous cell carcinoma of the anal canal.
  • Staging revealed locally advanced anal disease with nodal involvement and metastatic gastric adenocarcinoma, prompting treatment with the systemic CAPOX chemotherapy regimen.

Cite This Study

Pragasam et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2f70926e14a848b19dahttps://doi.org/10.1007/s12672-026-05812-5
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Also Consider

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  1. 1Synchronous Gastric and Colonic Adenocarcinoma: A Case Report With its Molecular Implications2024
  2. 2A case of a rare type of cancer: Anal squamous cell carcinoma in a patient without significant risk factors2024 · 1 citations
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  5. 5A Rare Case of Synchronous Gastrointestinal Stromal Tumour, Liver Haemangioma and Sigmoid Colon Adenocarcinoma2024