Korean J Gastrointest Endosc.  2006 Feb;32(2):128-131.

A Case of Appendicular and Rectal Metastasis from Gastric Cancer Detected by Endoscopic Resection

• Ko EY
• Cho YK
• Park SM
• Seo IS
• Kim YH
• Cho JW
• Lee YW

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.

Keyword

Signet ring cell carcinoma; Metastatic appendicular carcinoma

MeSH Terms

Biopsy
Carcinoma, Signet Ring Cell
Colon
Colonoscopy
Diagnosis
Humans
Neoplasm Metastasis*
Stomach Neoplasms*