Gut and Liver  2009;3(3):211-214

Gastric Metastasis from Ovarian Adenocarcinoma Presenting as a Submucosal Tumor without Ulceration.

Hyun Jung JUNG 1 ; Hae Yon LEE ; Byung Wook KIM ; Seung Min JUNG ; Hyung Gil KIM ; Jeong Seon JI ; Hwang CHOI ; Bo In LEE

Affiliations

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Keywords

Ovarian adenocarcinoma; Gastric metastasis; Submucosal tumor

Country

Republic of Korea

Language

English

Abstract

Metastatic gastric cancer is extremely rare and gastric metastasis from ovarian adenocarcinoma has rarely been reported. All of the previously reported metastatic lesions presented as an ulcerative lesions. We report a case of 49-year-old woman in which gastric metastasis from ovarian adenocarcinoma presented as a submucosal tumor without ulceration on endoscopic examination. Gastrointestinal stromal tumor was suspected on endoscopic ultrasound (EUS) examination. It was confirmed histopathologically as metastatic ovarian adenocarcinoma after endoscopic submucosal dissection (ESD) with enucleation. Submucosal tumor of the stomach in patients with ovarian carcinoma should not be overlooked and ESD with enucleation may be a viable option when EUS with fine needle aspiration is not available.