A Case of Advanced Gastric Cancer Presenting as Multiple Colonic Lymphoid Hyperplasia.
10.4166/kjg.2015.66.4.221
- Author:
In Hee LEE
1
;
Jieun LEE
;
Seong Wook BYEON
;
Heejung LEE
;
Solmi HUO
;
Seung Bae YOON
;
Jin Su KIM
;
Sung Hak LEE
;
Sang Young ROH
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. roh00@catholic.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Stomach neoplasms;
Signet ring cell carcinoma;
Neoplasm metastasis
- MeSH:
Antineoplastic Combined Chemotherapy Protocols/therapeutic use;
Colonic Neoplasms/*diagnosis/secondary;
Colonoscopy;
Female;
Fluorouracil/administration & dosage;
Gastroscopy;
Humans;
Hyperplasia/diagnosis;
Leucovorin/administration & dosage;
Middle Aged;
Organoplatinum Compounds/administration & dosage;
Positron-Emission Tomography;
Stomach Neoplasms/*diagnosis/drug therapy;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2015;66(4):221-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric cancer frequently disseminates to the liver, lung, and bone via hematogeneous, lymphatic, or peritoneal routes. However, gastric adenocarcinoma that metastasize to the colon and that shows typical linea platisca pattern on colonofiberscopy has rarely been reported. Recently, the authors experience a case of advanced gastric cancer with colonic metastases in a 55-year-old female patient. Multiple colonic lymphoid hyperplasias were detected on colonofiberscopy and biopsy revealed metastatic gastric cancer to the colonic wall. She was treated with mFOLFOX (5-FU, oxaliplatin, leucovorin) and has achieved stable disease status without disease progression. Herein, we report a rare case of signet ring-cell gastric cancer which metastasized to the colon in the form of multiple colonic lymphoid hyperplasias.