Polypoid colonic metastases from gastric stump carcinoma: A case report

Gao,Bingxia; Xue,Xinying; Tai,Weiping; Zhang,Jinghui; Chang,Hong; Ma,Xiaorong; Qi,Ying; Cui,Lifang; Yan,Fengcai; Pan,Lei

doi:10.3892/ol.2014.2254

September-2014 Volume 8 Issue 3

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September-2014 Volume 8 Issue 3

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Case Report

Polypoid colonic metastases from gastric stump carcinoma: A case report

Authors:
- Bingxia Gao
- Xinying Xue
- Weiping Tai
- Jinghui Zhang
- Hong Chang
- Xiaorong Ma
- Ying Qi
- Lifang Cui
- Fengcai Yan
- Lei Pan
View Affiliations / Copyright

Affiliations: Department of Gerontology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, P.R. China, Department of Gastroenterology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, P.R. China, Department of Pathology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, P.R. China
Pages: 1119-1122
|
Published online on: June 16, 2014

https://doi.org/10.3892/ol.2014.2254
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Abstract

The present study aimed to investigate polypoid colonic metastases from gastric stump carcinoma by performing a retrospective analysis of the clinical data of a patient with such a diagnosis, and by discussing other previous case studies from the literature. The patient of the present study was an 80-year-old male who had undergone a gastrectomy 48 years previously for a benign perforated gastric ulcer. A colonoscopy revealed >10 multiple polypoid lesions of 6‑10 mm in diameter distributed throughout the entire colon, except in the rectum. Each lesion had either erosion or a depression at the top and several were covered with a white fur-like substance. Biopsy specimens excised from the stomach showed a poorly‑differentiated adenocarcinoma with diffuse signet ring cells, and a colonoscopy‑guided biopsy revealed a signet ring cell adenocarcinoma. The patient was referred to the Oncology unit (Beijing Shijitan Hospital, Beijing, China) for assessment and chemotherapy treatment, which was initiated with 1,000 mg Xeloda orally administered twice a day for two‑week courses every three weeks. The patient succumbed to upper gastrointestinal hemorrhage and pneumonia after three months. Gastric or gastric stump carcinoma may metastasize to the colon presenting as solitary or multiple colonic polyps. Thus, it is important to consider this diagnosis as such colon metastases may mimic solitary or multiple colonic polyps, which are commonly observed. A differential diagnosis is required in this complicated situation.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Polypoid colonic metastases from gastric stump carcinoma: A case report

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