A Case of Appendicular and Rectal Metastasis from Gastric Cancer Detected by Endoscopic Resection.
- Author:
Eun Young KO
1
;
Yong Keun CHO
;
Seung Min PARK
;
In Seok SEO
;
Yang Ho KIM
;
Jin Woong CHO
;
Yong Woong LEE
Author Information
1. Department of Internal Medicine, Gastroenterology, Presbyterian Medical Center, Jeonju, Korea. jyn827@shinbiro.com
- Publication Type:Case Report
- Keywords:
Signet ring cell carcinoma;
Metastatic appendicular carcinoma
- MeSH:
Biopsy;
Carcinoma, Signet Ring Cell;
Colon;
Colonoscopy;
Diagnosis;
Humans;
Neoplasm Metastasis*;
Stomach Neoplasms*
- From:Korean Journal of Gastrointestinal Endoscopy
2006;32(2):128-131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A hematogenous or lymphogenous metastasis and a direct or disseminated invasion can occur in cases of a gastrointestinal metastasis. Moreover, a hepatic or peritoneal metastasis is common in advanced gastric cancer. However, a colonic metastasis, particularly an appendicular metastasis, is quite rare. Recently, we experienced a case with an appendicular submucosal tumor-like elevated lesion and multiple rectal elevated lesions during a colonoscopy in an advanced gastric cancer patient. The appendicular lesion was resected endoscopically and a biopsy of the rectal lesions was performed. The pathologic diagnosis was an appendicular and rectal metastasis of a signet ring cell carcinoma. We describe a case of appendicular and rectal metastasis from gastric cancer. The results highlight the importance of considering a metastatic carcinoma when an appendicular or rectal mass is found incidentally in a malignant neoplasm patient.
