Korean J Gastrointest Endosc > Volume 26(6); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(6): 431-434.
생식세포종의 위전이 1예
김도영·양성은·김창환·김지훈·남순우·김진일·박수헌·한준열·김재광·정규원·선희식·이교영*
가톨릭대학교 의과대학 내과학교실
A Case of Metastatic Gastric Cancer Resulting from Mixed Germ Cell Tumor
Do Young Kim, M.D., Seong-Eun Yang, M.D., Chang-Whan Kim, M.D., Ji-Hoon Kim, M.D., Soon-Woo Nam, M.D., Jin Il Kim, M.D., Soo-Heon Park, M.D., Joon-Yeol Han, M.D., Jae Kwang Kim, M.D., Kyu Won Chung, M.D., Hee Sik Sun, M.D. and Kyo Young Lee, M.D.*
Departments of Internal Medicine and *Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Majority of metastatic stomach tumor is direct invasion from adjacent malignant lesions such as pancreatic carcinoma, hepatoma, colonic carcinoma which invade the stomach via gastrocolic ligament. Otherwise, metastatic involvement of the stomach as a result of solid tumors of extra-gastrointestinal origin is a rare occurrence, in about 0.2% to 1.7% of patients dying of solid tumors. The tumors which were most commonly reported hematogenous metastatic malignancy of the stomach are melanoma, lung carcinoma, breast carcinoma. We have experienced an unusual case in which a metastatic gastric germ cell tumor presented as an upper gastrointestinal bleeding in a 29-year-old man. He was hospitalized with complaints of melena and severe anemic appearance. We performed gastroscopy which revealed an fungating mass covered with dark pigmentation at the anterior wall of lower body of the stomach. Pathologic findings of the biopsy showed a metastatic mixed germ cell tumor of the stomach. We report this unusual metastatic mixed germ cell tumor of the stomach with a review of literatures. (Korean J Gastrointest Endosc 2003;26:431⁣434)
Key Words: Metastatic gastric cancer, Mixed germ cell tumor, Upper gastrointestinal bleeding
주요어: 전이성 위암, 혼합 생식세포종, 상부 위장관 출혈
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