Early Gastric Mucosal Cancer Associated with Synchronous Liver Metastasis.
10.5230/jkgca.2004.4.4.277
- Author:
Sung Joon BONG
1
;
Kyong Hwa JUN
;
Hyung Min CHIN
;
Hyeon Min CHO
;
Yong Sung WON
;
Woo Bae PARK
Author Information
1. Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea. hchin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Early gastric cancer;
Liver metastasis;
Synchronous
- MeSH:
Adenocarcinoma;
Adenoma;
Female;
Gastrectomy;
Gastric Mucosa;
Humans;
Laparotomy;
Liver*;
Middle Aged;
Mucous Membrane;
Neoplasm Metastasis*;
Pyloric Antrum;
Stomach;
Stomach Neoplasms
- From:Journal of the Korean Gastric Cancer Association
2004;4(4):277-281
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Early gastric cancer (EGC) is defined as a carcinoma confined to the mucosa or submucosa of the stomach, with or without lymph-node metastasis. Synchronous liver metastasis is 5~12.8% in advanced gastric cancer, but is very low in EGC. A 64-year-old woman was admitted to St. Vincent's Hospital with a complaint of epigastric pain. Gastrofiberscopic examination showed a polypoid mass on the gastric antrum. Abdominal computed tomography demonstrated an intraluminal polypoid mass in the gastric antrum, but no tumor mass in the liver. A laparotomy revealed a solitary liver metastasis, we performed a distal partial gastrectomy with a group-2 lymph-node dissection and resection of metastatic liver tumor. Histologic examination showed a tubular adenoma with a focal carcinomatous change, which was confined to the gastric mucosa and to the metastatic adenocarcinoma in the liver. We present a case of early gastric mucosal cancer associated with synchronous liver metastasis, along with a review of the literature.
