Multiple depressed‐type colonic cancer (IIC)‐like configurations: metastases from gastric cancer

Multiple depressed‐type colonic cancer (IIC)‐like configurations: metastases from gastric cancer
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多发性抑郁型结肠癌(IIC)样结构:胃癌转移

DOI:
10.1046/j.1443-1661.2002.00171.x
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发表时间:
2002
影响因子:
5.3
通讯作者:
Keiichi Tadokoro
Keiichi Tadokoro
中科院分区:
医学2区
文献类型:
--
作者:
M. Iwabuchi;N. Hiwatashi;Tatsuhiko Suzuki;S. Teshima;Toshihiro Saito;Hiroyoshi Suzuki;Y. Mori;J. Ishibashi;N. Chida;Keiichi Tadokoro

文献摘要

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我们报告一例罕见的进展期胃癌多发性结肠转移,表现为结肠凹陷型多发性早期癌(IIc)样构型。该病例是一名74岁男性,表现为腹胀症状。结肠镜检查和钡灌肠检查显示多个IIc样病变,组织学检查显示为印戒细胞癌的转移性沉积物。他患有同步性胃癌,组织学上表现为中度至低分化腺癌伴印戒细胞分化。此外,他还伴有多处小肠转移性病变。这似乎是首次发表的关于胃癌多发性IIc样结肠转移性病变的报告。
We present a rare case of multiple colonic metastases from advanced gastric cancer presenting colon depressed‐type multiple early cancer (IIc)‐like configuration. The case was a 74‐year‐old man who presented with a symptom of abdominal fullness. Colonoscopy and barium enema study revealed multiple IIc‐like lesions, which were shown histologically to be metastatic deposits of signet ring cell carcinoma. He had synchronous gastric cancer, which histologically demonstrated moderate to poorly differentiated adenocarcinoma with signet ring cell differentiation. In addition, he had concomitant multiple small bowel metastatic lesions. This appears to be the first published report of multiple IIc‐like colonic metastatic lesions from a gastric cancer.