Korean J Gastrointest Endosc > Volume 32(2); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(2): 128-131.
내시경 절제에 의해 발견된 위암의 충수 및 직장 전이 1예
고은영⋅조용근⋅박승민⋅서인석⋅김양호⋅조진웅⋅이용웅
예수병원 소화기내과
A Case of Appendicular and Rectal Metastasis from Gastric Cancer Detected by Endoscopic Resection
Eun Young Ko, M.D., Yong Keun Cho, M.D., Seung Min Park, M.D., In Seok Seo, M.D., Yang Ho Kim, M.D., Jin Woong Cho, M.D. and Yong Woong Lee, M.D.
Department of Internal Medicine, Gastroenterology, Presbyterian Medical Center, Jeonju, Korea
Abstract
A hematogenous or lymphogenous metastasis and a direct or disseminated invasion can occur in cases of a gastrointestinal metastasis. Moreover, a hepatic or peritoneal metastasis is common in advanced gastric cancer. However, a colonic metastasis, particularly an appendicular metastasis, is quite rare. Recently, we experienced a case with an appendicular submucosal tumor-like elevated lesion and multiple rectal elevated lesions during a colonoscopy in an advanced gastric cancer patient. The appendicular lesion was resected endoscopically and a biopsy of the rectal lesions was performed. The pathologic diagnosis was an appendicular and rectal metastasis of a signet ring cell carcinoma. We describe a case of appendicular and rectal metastasis from gastric cancer. The results highlight the importance of considering a metastatic carcinoma when an appendicular or rectal mass is found incidentally in a malignant neoplasm patient. (Korean J Gastrointest Endosc 2006;32:128⁣131)
Key Words: Signet ring cell carcinoma, Metastatic appendicular carcinoma
주요어: 인환세포암, 충수전이암
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