Colonic Metastasis From Gastric Cancer

Oh, Sun Young; Cunningham, Julia; Saif, Muhammad Wasif

doi:10.1016/j.clcc.2014.09.009

Cited by 11 publications

(6 citation statements)

References 14 publications

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“…We used the following keywords and their combinations: "colonic metastasis", "colon metastasis", "poorly differentiated", "signet ring cell", and "gastric". The search revealed only ten reports, suggesting that colonic metastasis of gastric cancer is very rare or often misdiagnosed [3,[7][8][9][10][11][12][13][14][15]. One report summarized 21 cases of colorectal recurrence more than 5 years after the resection of gastric cancer, whereas another report summarized 14 cases of colonic metastases of gastric cancer [3,8].…”

Section: Conclusion and Discussionmentioning

confidence: 99%

Simultaneous colonic metastasis of advanced gastric cancer: a case report

et al. 2023

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Background Although distant metastasis in gastric cancer can be present at the time of the initial diagnosis, colonic metastasis is extremely rare. This report describes a case of simultaneous colonic metastasis of advanced gastric cancer. Case presentation The patient was a 78-year-old woman with nausea and epigastric pain. Upper gastrointestinal endoscopy revealed an advanced invasive ulcerative tumor in the lesser curvature of the stomach extending from the anterior to the middle portion. Colonoscopy revealed a 4-mm polyp-like lesion in the mid-transverse colon; therefore, a polypectomy was performed. Both gastric and colonic tumors showed poorly differentiated adenocarcinoma with signet ring cell carcinoma. After providing informed consent, the patient underwent a total gastrectomy. Histologic examination showed similar morphologic features of both gastric and colonic tumors. Immunohistochemistry staining showed that these tumor cells were positive for cytokeratin (CK) 7 and negative for CK20. Conclusions This was an extremely rare case of simultaneous colonic metastasis of advanced gastric cancer. Because missed metastasis can result in a poorer prognosis, we propose a systemic search including colonoscopy for patients with advanced gastric cancer, especially cases involving poorly differentiated adenocarcinoma or signet ring cell carcinoma.

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Section: Conclusion and Discussionmentioning

confidence: 99%

Simultaneous colonic metastasis of advanced gastric cancer: a case report

et al. 2023

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“…The use of chemotherapy is based on the treatment guidelines of each country. In the reported cases, there were cases in which the prognosis was considered to have improved by administering chemotherapy using the same protocol or the same anticancer drug after recurrence due to colorectal metastasis ( 6 , 18 , 20 , 21 , 24 ). In cases of metachronous recurrence, if the chemotherapy protocol before recurrence was effective and the chemotherapy was discontinued, the same treatment should be considered first.…”

Section: Discussionmentioning

confidence: 99%

A rare case of colorectal metastasis found 8 years and 10 months after gastrectomy for advanced gastric cancer: A case report and literature review

et al. 2023

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Colorectal metastasis from gastric cancer is rare and may develop several years after gastric cancer surgery. Therefore, colonoscopic findings provide useful diagnostic information. The present report describes a case of gastric cancer colon metastasis diagnosed 8 years and 10 months after gastrectomy for advanced gastric cancer. A 64-year-old male patient underwent gastrectomy in December 2010 and received chemotherapy for 4 years and 10 months after the surgery. Subsequently, the patient was diagnosed as having colorectal cancer by computed tomography in February 2019. Colonoscopy revealed linitis plastica-like colon stenosis; however, biopsy pathology did not reveal any findings indicating malignancy. Right hemicolectomy was performed, and pathological examination revealed colon metastasis from gastric cancer. The patient received chemotherapy but died of peritoneal carcinomatosis 1 year and 8 months after the colectomy. According to literature, colorectal metastasis from gastric cancer is often attributed to hematogenous metastasis and often exhibits characteristic macroscopic features. Treatments, such as chemotherapy for gastric cancer and/or colorectal resection, are considered effective for gastric cancer colorectal metastasis.

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“…The literature review revealed various macroscopic presentations of the metastatic intestinal lesions. They included mostly polyps [ 10 - 13 ], ulcerations [ 14 - 15 ], and depressed lesions [ 9 , 16 - 17 ]. However, literature on metastatic lesions of a gastric SRC presenting as a colonic stricture is rare.…”

Section: Discussionmentioning

confidence: 99%

Metastasis From Gastric Signet Ring Cell Adenocarcinoma Presenting as a Rectosigmoid Stricture: A Rare Case

Mehershahi¹,

Mantri²,

Sun³

et al. 2020

Cureus

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We present the case of a 55-year-old man who was admitted with new abdominal ascites and change in stool caliber. The colonoscopy examination revealed a severe stricture with inflamed friable mucosa measuring 8 cm in length in the rectosigmoid colon. Histologically, poorly differentiated adenocarcinoma with signet ring cells was seen. The patient underwent esophagogastroduodenoscopy (EGD), which was suggestive of linitis plastica of the stomach. On microscopic examination, biopsy reported poorly differentiated adenocarcinoma with occasional signet ring cells as the primary source.

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Colonic Metastasis From Gastric Cancer

Cited by 11 publications

References 14 publications

Simultaneous colonic metastasis of advanced gastric cancer: a case report

Simultaneous colonic metastasis of advanced gastric cancer: a case report

A rare case of colorectal metastasis found 8 years and 10 months after gastrectomy for advanced gastric cancer: A case report and literature review

Metastasis From Gastric Signet Ring Cell Adenocarcinoma Presenting as a Rectosigmoid Stricture: A Rare Case

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