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KMID : 0882420080740060680
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Korean Journal of Medicine
2008 Volume.74 No. 6 p.680 ~ p.684
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A case of solitary rectal recurrence of gastric cancer
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Kang Min-Ho
Kim Bae-Hwan
Yun Seung-Wook
Lee Soon-Il
Shin Jeong-Eun
Namgung Hwan
Lee Won-Ae
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Abstract
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The present research was conducted through the research fund of Dankook University in 2006.
Rectal recurrence of gastric cancer is uncommon. A few cases have been reported, with the majority of them associated with peritoneal recurrence. A 71-year-old man visited our hospital complaining of bowel habit changes and fecal incontinence. He had undergone radical subtotal gastrectomy and postoperative adjuvant chemotherapy for advanced gastric cancer 9 years earlier. Colonoscopy showed a rigidly constricted and erythematous rectum. Abdominopelvic CT showed diffuse rectal wall thickening with enhancement. PET-CT showed a hot uptake in the corresponding area on abdominopelvic CT scan, with no evidence of distant metastasis. We performed transanal full thickness biopsy and confirmed a diagnosis of adenocarcinoma pathologically similar to the former gastric cancer. The patient was diagnosed with solitary rectal recurrence simulating linitis plastica, without gastric remnant recurrence. We report this case with a review of the literature.
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KEYWORD
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Gastric cancer, Rectal recurrence, Linitis plastica
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