Collision tumour involving a rectal gastrointestinal stromal tumour with invasion of the prostate and a prostatic adenocarcinoma

Background: Gastrointestinal stromal tumours (GISTs) are the most common primary mesenchymal neoplasia in the gastrointestinal tract, although they represent only a small fraction of total gastrointestinal malignancies in adults (<2%). GISTs can be located at any level of the gastrointestinal tract; the stomach is the most common location (60-70%), in contrast to the rectum, which is most rare (4%). When a GIST invades into the adjacent prostate tissue, it can simulate prostate cancer. In this study, we report on a case comprising the unexpected collision between a rectal GIST tumour and a prostatic adenocarcinoma. Findings: We describe the complexity of the clinical, endoscopic and radiological diagnosis, of the differential diagnosis based on tumour biopsy, and of the role of neoadjuvant therapy using imatinib prior to surgical treatment. Conclusions: Although isolated cases of coexisting GISTs and prostatic adenocarcinomas have reviously been described, this is the first reported case in the medical literature of a collision tumour involving a rectal GIST and prostatic adenocarcinoma components.

Bizkaiko jauntxoen inguruko herri literaturaz: Plentziako 1603ko hiru esaera zahar eta "Refranes y Sentencias"-en jatorria, eta proposamen bat Arrasateko erreketaren kantuez

[EUS] Lan honetan aurkikuntza baten berri ematen dugu: Plentziako armarri batean aurkitutako hiru euskal esaera zahar (1603) aurkezten eta hizkuntzaren eta historiaren ikuspuntutik aztertzen ditugu. Hiru esaerotatik bi «Refranes y sentencias» 1596) lanean agertzen dira, eta hori datu garrantzitsua da; izan ere, Lakarrak 1996) errefrau-bilduma anonimo horren jatorriaz egindako proposamena berresteko argudio berria da. Zehazki, Bizkaiko ipar-mendebala proposatu zuen Lakarrak bildumako errefrauen jatorri gisa. Beste alde batetik, Bizkaiko ipar-mendebaleko euskararen zenbait ezaugarri baliatuta, Arrasateko erreketari buruzko zenbait kantu eremu horretan sortu zirela proposatzen dugu —zehazki, Butroeko (Gatika) dorretxearen inguruan—, hizkuntzari dagozkion argudioak historiari buruzkoekin osatuta.