Korean J Gastroenterol.  2016 Jul;68(1):54-56. 10.4166/kjg.2016.68.1.54.

Colorectal Metastasis of Advanced Gastric Cancer Presenting as Multiple Colorectal Polyps

• Lee SJ
• Chung WC

• KMID: 2344494
• DOI: http://doi.org/10.4166/kjg.2016.68.1.54

Abstract

No abstract available.

MeSH Terms

Neoplasm Metastasis*
Polyps*
Stomach Neoplasms*

Figure

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  Fig. 1. Initial abdominal CT finding. The bilateral masses (right ovary, 22.3×21.4×16.9 cm; left ovary, 6.2×6.2×5.5 cm) and large amount of ascites suggested advanced ovary cancer.

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  Fig. 2. Esophagogastroduodenoscopic finding. A 1.8 cm depressed lesion with mucosal convergence is seen in the great curvature side of the midbody.

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  Fig. 3. Colonoscopic finding. Raised erosion (0.5 cm) is revealed in the mid descending colon.

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  Fig. 4. Microscopic finding of colonic lesion. Poorly differentiated adenocarcinoma with signet ring cell component is seen (H&E, ×200).

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  Fig. 5. Another case of colonic metastasis of gastric adenocarcinoma. (A) Segmental wall thickening at the mid transverse colon was observed at abdominal CT (arrow). (B) Metastatic colon cancer from gastric adenocarcinoma shows typical linea platisca pattern at mid transverse colon.

Reference

References

1. Batson OV. The function of the vertebral veins and their role in the spread of metastases. 1940. Clin Orthop Relat Res. 1995; (312):4–9.

2. Rodríguez Salas N, González Paz C, Rivera T, López Alfonso A, Martín Marino A, Lara Alvarez MA. Colonic anastomosis and colonic polyp mucosal metastasis of signet ring cell gastric adenocarcinoma. Clin Transl Oncol. 2010; 12:238–239.

3. Ogiwara H, Konno H, Kitayama Y, Kino I, Baba S. Metastases from gastric adenocarcinoma presenting as multiple colonic polyps: report of a case. Surg Today. 1994; 24:473–475.

4. Katon RM, Brendler SJ, Ireland K. Gastric linitis plastica with metastases to the colon: a mimic of Crohn's disease. J Clin Gastroenterol. 1989; 11:555–560.

5. Gao B, Xue X, Tai W, et al. Polypoid colonic metastases from gastric stump carcinoma: a case report. Oncol Lett. 2014; 8:1119–1122.

6. Metayer P, Antonietti M, Oumrani M, Hemet J, Lemoine F, Basuyau J. Metastases of a gastric adenocarcinoma presenting as colonic polyposis. Report of a case. Dis Colon Rectum. 1991; 34:622–623.

7. Lee IH, Lee JE, Byeon SW, et al. A case of advanced gastric cancer presenting as multiple colonic lymphoid hyperplasia. Korean J Gastroenterol. 2015; 66:221–226.

8. Tiszlavicz L. Stomach cancer metastasizing into a solitary adenomatous colonic polyp. Orv Hetil. 1990; 131:1259–1261.

9. Tiszlavicz L. Metastasis of a stomach carcinoma in a solitary adenomatous cecal polyp. Zentralbl Allg Pathol. 1990; 136:277–282.

10. Park SY, Kim HS, Hong EK, Kim WH. Expression of cytokeratins 7 and 20 in primary carcinomas of the stomach and colorectum and their value in the differential diagnosis of metastatic carcinomas to the ovary. Hum Pathol. 2002; 33:1078–1085.