Korean J Med.  2014 Feb;86(2):204-207.

A Case of Pericolonic Metastasis in Recurrent Signet-Ring-Cell Adenocarcinoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration Using a Forward-Viewing Echoendoscope

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. dhpark@amc.seoul.kr

Abstract

Endoscopic ultrasound-guided fine-needle aspiration is used for the diagnosis and evaluation of rectal and pelvic lesions in lower gastrointestinal tract disease. However, it is not used widely in proximal and transverse colon disease because of the limited visual field and technical problems related to an oblique-viewing echoendoscope. Here, we report a case of recurrent signet-ring-cell gastric adenocarcinoma involving the transverse colon not diagnosed by repeated colonoscopic biopsies that was eventually diagnosed using a forward-viewing echoendoscope with fine-needle aspiration biopsy.

Keyword

Signet ring cell carcinoma; Endoscopic ultrasound; Fine-needle aspiration; Core-needle biopsy

MeSH Terms

Adenocarcinoma*
Biopsy
Biopsy, Fine-Needle*
Carcinoma, Signet Ring Cell
Colon, Transverse
Diagnosis
Lower Gastrointestinal Tract
Neoplasm Metastasis*
Visual Fields
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