J Korean Gastric Cancer Assoc.  2004 Dec;4(4):277-281.

Early Gastric Mucosal Cancer Associated with Synchronous Liver Metastasis

• Bong SJ
• Jun KH
• Chin HM
• Cho HM
• Won YS
• Park WB

Abstract

Early gastric cancer (EGC) is defined as a carcinoma confined to the mucosa or submucosa of the stomach, with or without lymph-node metastasis. Synchronous liver metastasis is 5~12.8% in advanced gastric cancer, but is very low in EGC. A 64-year-old woman was admitted to St. Vincent's Hospital with a complaint of epigastric pain. Gastrofiberscopic examination showed a polypoid mass on the gastric antrum. Abdominal computed tomography demonstrated an intraluminal polypoid mass in the gastric antrum, but no tumor mass in the liver. A laparotomy revealed a solitary liver metastasis, we performed a distal partial gastrectomy with a group-2 lymph-node dissection and resection of metastatic liver tumor. Histologic examination showed a tubular adenoma with a focal carcinomatous change, which was confined to the gastric mucosa and to the metastatic adenocarcinoma in the liver. We present a case of early gastric mucosal cancer associated with synchronous liver metastasis, along with a review of the literature.

Keyword

Early gastric cancer; Liver metastasis; Synchronous

MeSH Terms

Adenocarcinoma
Adenoma
Female
Gastrectomy
Gastric Mucosa
Humans
Laparotomy
Liver*
Middle Aged
Mucous Membrane
Neoplasm Metastasis*
Pyloric Antrum
Stomach
Stomach Neoplasms