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KMID : 0914820040040040277
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Journal of the Korean Gastric Cancer Association
2004 Volume.4 No. 4 p.277 ~ p.281
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Early Gastric Mucosal Cancer Associated with Synchronous Liver Metastasis
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Bong Sung-Joon
Jun Kyong-Hwa
Chin Hyung-Min
Cho Hyeon-Min
Won Yong-Sung
Park Woo-Bae
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Abstract
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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.
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KEYWORD
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Early gastric cancer, Liver metastasis, Synchronous
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