Malignant Gastric Ulcer Due to Metastasis

Abstract

SUMMARY In three patients with malignant disease and gastric ulceration, the unusual diagnosis of metastasis was suggested by atypical barium meal features and was supported, in two, by gastroscopy and exfoliative cytology. Characteristically, a centrally‐ulcerated nodule with elevated smooth margins gives rise to the “bull's‐eye” sign. This is not specific for melanomatous metastasis as has hitherto been suggested. The excision of an isolated gastric metastasis in one patient was followed by a twelve‐month remission. The autopsy incidence of gastric metastasis in patients with carcinomatosis was found to be 1–5%.

Long-Term Survival After Repeat Resections of Metastases in Liver, Lung, and Stomach from Sigmoid Colon Cancer: Report of a Case

“…[1][2][3][4][5][6][7][8][9] However, in Englishlanguage publications there has been only one case report of a surgically resected gastric metastasis from colorectal cancer. 10 At our facilities, we treated a patient who underwent a simultaneous colectomy and hepatectomy for sigmoid colon cancer and its hepatic metastases, and then a sequential hepatectomy for recurrent hepatic metastases, a pulmonary resection for pulmonary metastasis, and a partial gastrectomy for gastric metastasis. The patient is still alive with a good quality of life, at 7 years 6 months after the initial surgery and at 4 years after a resection of gastric metastasis.…”

Metastatic Tumors to the Stomach: Analysis of 54 Patients Diagnosed at Endoscopy and 347 Autopsy Cases

“…The stomach is an unusual site for metastasis [1 ± 3]. With regard to the macroscopic appearance of this condition, multiple lesions and a ªbulls-eye signº on radiographs have been described as characteristic findings [4,5]. The ªbulls-eye signº corresponds to the endoscopic appearance of a submucosal tumor with a central depression [6].…”

Simultaneous Esophageal and Gastric Metastases from Lung Cancer

“…These include solitary polypoid submucosal mass, multiple polypoid submucosal masses that may ulcerate, and infiltrating constricting patterns such as linitis plastica. 8 10 11 12 In an analysis of 401 cases of metastatic gastric cancer, the gastric metastatic lesions in most cases were located in the middle or upper third of the stomach, and particularly on the greater curvature. In addition, solitary metastases were more common than multiple lesions in gastric metastasis.…”