A case of solitary rectal recurrence of gastric cancer.
- Author:
Min Ho KANG
1
;
Bae Whan KIM
;
Seoung Wook YUN
;
Soon IL LEE
;
Jeong Eun SHIN
;
Hwan NAM GOONG
;
Won Ae LEE
Author Information
1. Department of Internal Medicine, College of Medicine Dankook University, Choenan, Korea. avnrt@hanmail.net
- Publication Type:Case Report
- Keywords:
Gastric cancer;
Rectal recurrence;
Linitis plastica
- MeSH:
Adenocarcinoma;
Aged;
Biopsy;
Chemotherapy, Adjuvant;
Colonoscopy;
Fecal Incontinence;
Financial Management;
Gastrectomy;
Gastric Stump;
Humans;
Linitis Plastica;
Neoplasm Metastasis;
Rectum;
Recurrence;
Stomach Neoplasms
- From:Korean Journal of Medicine
2008;74(6):680-684
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The present research was conducted through the research fund of Dankook University in 2006. Rectal recurrence of gastric cancer is uncommon. A few cases have been reported, with the majority of them associated with peritoneal recurrence. A 71-year-old man visited our hospital complaining of bowel habit changes and fecal incontinence. He had undergone radical subtotal gastrectomy and postoperative adjuvant chemotherapy for advanced gastric cancer 9 years earlier. Colonoscopy showed a rigidly constricted and erythematous rectum. Abdominopelvic CT showed diffuse rectal wall thickening with enhancement. PET-CT showed a hot uptake in the corresponding area on abdominopelvic CT scan, with no evidence of distant metastasis. We performed transanal full thickness biopsy and confirmed a diagnosis of adenocarcinoma pathologically similar to the former gastric cancer. The patient was diagnosed with solitary rectal recurrence simulating linitis plastica, without gastric remnant recurrence. We report this case with a review of the literature.
