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KMID : 0359020060320020128
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Korean Journal of Gastrointestinal Endoscopy
2006 Volume.32 No. 2 p.128 ~ p.131
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A Case of Appendicular and Rectal Metastasis from Gastric Cancer Detected by Endoscopic Resection
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Ko Eun-Young
Cho Yong-Keun
Park Seung-Min
Seo In-Seok
Kim Yang-Ho
Cho Jin-Woong
Lee Yong-Ung
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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;32:128-131)
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KEYWORD
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Signet ring cell carcinoma, Metastatic appendicular carcinoma
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