Korean J Gastrointest Endosc > Volume 36(5); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(5): 288-291.
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
Abstract
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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