| 내시경 절제에 의해 발견된 위암의 충수 및 직장 전이 1예 |
| 고은영⋅조용근⋅박승민⋅서인석⋅김양호⋅조진웅⋅이용웅 |
| 예수병원 소화기내과 |
| A Case of Appendicular and Rectal Metastasis from Gastric Cancer Detected by Endoscopic Resection |
| Eun Young Ko, M.D., Yong Keun Cho, M.D., Seung Min Park, M.D., In Seok Seo, M.D., Yang Ho Kim, M.D., Jin Woong Cho, M.D. and Yong Woong Lee, M.D. |
| Department of Internal Medicine, Gastroenterology, Presbyterian Medical Center, Jeonju, Korea |
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| Abstract |
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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. (Korean J Gastrointest Endosc 2006;32:128131) |
| Key Words:
Signet ring cell carcinoma, Metastatic appendicular carcinoma |
| 주요어:
인환세포암, 충수전이암 |
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