Korean J Med.
2008 Jun;74(6):680-684.
A case of solitary rectal recurrence of gastric cancer
- Affiliations
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- 1Department of Internal Medicine, College of Medicine Dankook University, Choenan, Korea. avnrt@hanmail.net
- 2Department of General Surgery, College of Medicine Dankook University, Choenan, Korea.
- 3Department of Pathology, College of Medicine Dankook University, Choenan, Korea.
Abstract
- The present research was conducted through the research fund of Dankook University in 2006. Rectal recurrence of gastric cancer is uncommon. A few cases have been reported, with the majority of them associated with peritoneal recurrence. A 71-year-old man visited our hospital complaining of bowel habit changes and fecal incontinence. He had undergone radical subtotal gastrectomy and postoperative adjuvant chemotherapy for advanced gastric cancer 9 years earlier. Colonoscopy showed a rigidly constricted and erythematous rectum. Abdominopelvic CT showed diffuse rectal wall thickening with enhancement. PET-CT showed a hot uptake in the corresponding area on abdominopelvic CT scan, with no evidence of distant metastasis. We performed transanal full thickness biopsy and confirmed a diagnosis of adenocarcinoma pathologically similar to the former gastric cancer. The patient was diagnosed with solitary rectal recurrence simulating linitis plastica, without gastric remnant recurrence. We report this case with a review of the literature.
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