| 신세포암의 위전이 1예 |
| 고원욱ㆍ양웅석ㆍ김남식ㆍ안진광ㆍ김광진ㆍ김형욱ㆍ박원일 |
| 김원묵기념 봉생병원 내과 |
| A Case of a Gastric Metastasis of a Renal Cell Carcinoma |
| Won Ook Ko, M.D., Ung Suk Yang, M.D., Nam Sik Kim, M.D., Jin Kwang An, M.D., Kwang Jin Kim, M.D., Hyung Wook Kim, M.D. and Won Il Park, M.D. |
| Department of Internal Medicine, Bong Seng Memorial Hospital, Busan, Korea |
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| Abstract |
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A gastric metastasis is an extremely rare event accounting for 0.2 to 0.7% of gastric neoplasms seen at necropsy. Primary origins of a gastric metastasis are pancreatic cancers, colon cancers, lung cancers and malignant melanomas. A renal cell carcinoma is renowned for its metastatic potential to spread to almost any organ of the body. However, a gastric metastasis of a renal cell carcinoma is very rare. It is believed that a renal cell carcinoma metastasizes hematogenously and it spreads through a renal vein to the stomach via the inferior vena cava and hemiazygos vein. A metastasis to the stomach is frequently located in the greater curvature of body. Endoscopic findings of a gastric metastasis often resemble a submucosal tumor with or without ulcer. Presenting symptoms are bleeding, anemia, or pyloric obstruction, but often the patient is asymptomatic. We report a case and review of the literature of a metastatic renal cell carcinoma to the stomach in a 71-year-old man who complained of a palpable abdominal mass. (Korean J Gastrointest Endosc 2008;36:288-291) |
| Key Words:
Renal cell carcinoma, Stomach, Metastasis |
| 주요어:
신세포암, 전이성 위암 |
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