Korean J Gastrointest Endosc > Volume 41(6); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(6): 373-377.
원발성 대장 반지세포암종의 직장 전이 1예
백관미ㆍ차재명ㆍ이정일ㆍ주광로ㆍ신현필ㆍ박재준ㆍ전정원ㆍ김교영*
경희대학교 의과대학 강동경희대학교병원 내과학교실, *병리학교실
A Case of Rectal Metastasis from Primary Signet Ring Cell Carcinoma of the Colon
Kwan Mi Pack, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Hyun Phil Shin, M.D., Jae Jun Park, M.D., Jung Won Jeon, M.D. and Gou Young Kim, M.D.*
Departments of Internal Medicine and *Pathology, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Korea
Abstract
Rectal metastasis of colon cancer without peritoneal carcinomatosis is a rare condition whose initial clinical presentation may mimic inflammation. To the best of our knowledge, there was no report on such cases. A 45-year-old man with a history of left hemicolectomy and adjuvant chemotherapy for primary signet ring cell carcinoma (SRCC) of the descending colon, admitted to have constipation and abdominal pain for 3 weeks. His colonoscopic findings did not show local tumor recurrence at the anastomsis site, however, a hard, concentric luminal narrowing of the lower rectum was encountered. Endoscopic biopsies revealed chronic inflammations, and positron emission tomography with 18F-fluorodeoxyglucose revealed diffuse mildly hypermetabolic lesion in the rectum, suggesting inflammation. Magnetic resonance image showed submucosal wall thickening with multiple perirectal lymph nodes. Rectal metastasis of colon cancer was highly suspected clinically and a surgical biopsy confirmed SRCC which was surgically removed thereafter. (Korean J Gastrointest Endosc 2010;41:373-377)
Key Words: Colon, Signet ring cell carcinoma, Rectum, Metastasis
주요어: 대장, 반지세포암종, 직장, 전이
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