Synchronous isolated gastric metastases from ascending colon carcinoma: A case report
Gastric metastases (GMs) are rare and often accompanied with synchronous metastases of other organs. Synchronous isolated GMs from ascending colon carcinoma are uncommon and rarely studied. GMs may be confused with primary gastric tumors. A 45-year-old man presented to our hospital with abdominal di...
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Veröffentlicht in: | Medicine (Baltimore) 2022-12, Vol.101 (51), p.e32476-e32476 |
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description | Gastric metastases (GMs) are rare and often accompanied with synchronous metastases of other organs. Synchronous isolated GMs from ascending colon carcinoma are uncommon and rarely studied. GMs may be confused with primary gastric tumors.
A 45-year-old man presented to our hospital with abdominal distensionand anal pendant expansion. The abdominal physical examination was negative. The positive fecal occult blood test and the negative tumor marker were obtained. Colonoscopy and gastroduodenoscopy revealed a polypoidal lesion in the ascending colon and a polypoid mass in the gastric body, respectively. CT showed the thickened wall of ascending colon and polypoid mass in the gastric body with homogenous enhancement. Additionally, synchronous gastric metastases from the ascending colon carcinoma were confirmed by pathology after laparoscopic right hemicolectomy and partial gastrectomy. After 13 individual doses of fluorouracil (2.8 g/time), calcium leucovorin (0.8 g/time), and oxaliplatin (85 mg/time), the patient was discharged without any discomfort, without any additional metastases detected during the following 18 months.1.
A rare case of synchronous isolated gastric metastasis from ascending colon carcinoma was confirmed by computed tomography (CT) and pathological diagnosis.
GM may appear as a polypoid lesion. Surgery combined with chemotherapy may improve the prognosis in patients with synchronous isolated GM. |
doi_str_mv | 10.1097/MD.0000000000032476 |
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A 45-year-old man presented to our hospital with abdominal distensionand anal pendant expansion. The abdominal physical examination was negative. The positive fecal occult blood test and the negative tumor marker were obtained. Colonoscopy and gastroduodenoscopy revealed a polypoidal lesion in the ascending colon and a polypoid mass in the gastric body, respectively. CT showed the thickened wall of ascending colon and polypoid mass in the gastric body with homogenous enhancement. Additionally, synchronous gastric metastases from the ascending colon carcinoma were confirmed by pathology after laparoscopic right hemicolectomy and partial gastrectomy. After 13 individual doses of fluorouracil (2.8 g/time), calcium leucovorin (0.8 g/time), and oxaliplatin (85 mg/time), the patient was discharged without any discomfort, without any additional metastases detected during the following 18 months.1.
A rare case of synchronous isolated gastric metastasis from ascending colon carcinoma was confirmed by computed tomography (CT) and pathological diagnosis.
GM may appear as a polypoid lesion. Surgery combined with chemotherapy may improve the prognosis in patients with synchronous isolated GM.</description><identifier>ISSN: 1536-5964</identifier><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000032476</identifier><identifier>PMID: 36595810</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Carcinoma - pathology ; Clinical Case Report ; Colon, Ascending - pathology ; Colonic Neoplasms - surgery ; Humans ; Male ; Middle Aged ; Stomach - pathology</subject><ispartof>Medicine (Baltimore), 2022-12, Vol.101 (51), p.e32476-e32476</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4171-b197b555ef91cd8d35090d05550e47e6854ce74c88410683acadcd1f6fe34ad43</citedby><cites>FETCH-LOGICAL-c4171-b197b555ef91cd8d35090d05550e47e6854ce74c88410683acadcd1f6fe34ad43</cites><orcidid>0000-0002-9257-8162</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794282/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794282/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36595810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Bin</creatorcontrib><creatorcontrib>Gan, Zhonghua</creatorcontrib><creatorcontrib>Liu, Shulan</creatorcontrib><creatorcontrib>Si, Guangyan</creatorcontrib><title>Synchronous isolated gastric metastases from ascending colon carcinoma: A case report</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Gastric metastases (GMs) are rare and often accompanied with synchronous metastases of other organs. Synchronous isolated GMs from ascending colon carcinoma are uncommon and rarely studied. GMs may be confused with primary gastric tumors.
A 45-year-old man presented to our hospital with abdominal distensionand anal pendant expansion. The abdominal physical examination was negative. The positive fecal occult blood test and the negative tumor marker were obtained. Colonoscopy and gastroduodenoscopy revealed a polypoidal lesion in the ascending colon and a polypoid mass in the gastric body, respectively. CT showed the thickened wall of ascending colon and polypoid mass in the gastric body with homogenous enhancement. Additionally, synchronous gastric metastases from the ascending colon carcinoma were confirmed by pathology after laparoscopic right hemicolectomy and partial gastrectomy. After 13 individual doses of fluorouracil (2.8 g/time), calcium leucovorin (0.8 g/time), and oxaliplatin (85 mg/time), the patient was discharged without any discomfort, without any additional metastases detected during the following 18 months.1.
A rare case of synchronous isolated gastric metastasis from ascending colon carcinoma was confirmed by computed tomography (CT) and pathological diagnosis.
GM may appear as a polypoid lesion. Surgery combined with chemotherapy may improve the prognosis in patients with synchronous isolated GM.</description><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Carcinoma - pathology</subject><subject>Clinical Case Report</subject><subject>Colon, Ascending - pathology</subject><subject>Colonic Neoplasms - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stomach - pathology</subject><issn>1536-5964</issn><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUNtOwzAMjRCIcfsCJJQfKOTaNDwgTRs3aYgH2HOUJe5WaJsp6UD8PYXBuPjF9rHPsXUQOqbklBKtzu7Gp-QnOBMq30J7VPI8kzoX27_qAdpP6YkQyhUTu2jAc6llQckemj68tW4RQxtWCVcp1LYDj-c2dbFyuIGur2yChMsYGmyTg9ZX7Ry7UIcWOxtd1YbGnuNh3yTAEZYhdodop7R1gqOvfICmV5ePo5tscn99OxpOMieootmMajWTUkKpqfOF55Jo4kmPEBAK8kIKB0q4ohCU5AW3znrnaZmXwIX1gh-gi7XucjVrwPfPddHWZhmrxsY3E2xl_k7aamHm4cVopQUrWC_A1wIuhpQilBsuJebDZXM3Nv9d7lknv89uON-29gtivfAa6g5ieq5XrxDNAmzdLT71pNIsY4QxyhgnWY8oyt8B9MeJtQ</recordid><startdate>20221223</startdate><enddate>20221223</enddate><creator>Yang, Bin</creator><creator>Gan, Zhonghua</creator><creator>Liu, Shulan</creator><creator>Si, Guangyan</creator><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9257-8162</orcidid></search><sort><creationdate>20221223</creationdate><title>Synchronous isolated gastric metastases from ascending colon carcinoma: A case report</title><author>Yang, Bin ; Gan, Zhonghua ; Liu, Shulan ; Si, Guangyan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4171-b197b555ef91cd8d35090d05550e47e6854ce74c88410683acadcd1f6fe34ad43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Carcinoma - pathology</topic><topic>Clinical Case Report</topic><topic>Colon, Ascending - pathology</topic><topic>Colonic Neoplasms - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stomach - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Bin</creatorcontrib><creatorcontrib>Gan, Zhonghua</creatorcontrib><creatorcontrib>Liu, Shulan</creatorcontrib><creatorcontrib>Si, Guangyan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Bin</au><au>Gan, Zhonghua</au><au>Liu, Shulan</au><au>Si, Guangyan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Synchronous isolated gastric metastases from ascending colon carcinoma: A case report</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2022-12-23</date><risdate>2022</risdate><volume>101</volume><issue>51</issue><spage>e32476</spage><epage>e32476</epage><pages>e32476-e32476</pages><issn>1536-5964</issn><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Gastric metastases (GMs) are rare and often accompanied with synchronous metastases of other organs. Synchronous isolated GMs from ascending colon carcinoma are uncommon and rarely studied. GMs may be confused with primary gastric tumors.
A 45-year-old man presented to our hospital with abdominal distensionand anal pendant expansion. The abdominal physical examination was negative. The positive fecal occult blood test and the negative tumor marker were obtained. Colonoscopy and gastroduodenoscopy revealed a polypoidal lesion in the ascending colon and a polypoid mass in the gastric body, respectively. CT showed the thickened wall of ascending colon and polypoid mass in the gastric body with homogenous enhancement. Additionally, synchronous gastric metastases from the ascending colon carcinoma were confirmed by pathology after laparoscopic right hemicolectomy and partial gastrectomy. After 13 individual doses of fluorouracil (2.8 g/time), calcium leucovorin (0.8 g/time), and oxaliplatin (85 mg/time), the patient was discharged without any discomfort, without any additional metastases detected during the following 18 months.1.
A rare case of synchronous isolated gastric metastasis from ascending colon carcinoma was confirmed by computed tomography (CT) and pathological diagnosis.
GM may appear as a polypoid lesion. Surgery combined with chemotherapy may improve the prognosis in patients with synchronous isolated GM.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>36595810</pmid><doi>10.1097/MD.0000000000032476</doi><orcidid>https://orcid.org/0000-0002-9257-8162</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Antineoplastic Combined Chemotherapy Protocols - therapeutic use Carcinoma - pathology Clinical Case Report Colon, Ascending - pathology Colonic Neoplasms - surgery Humans Male Middle Aged Stomach - pathology |
title | Synchronous isolated gastric metastases from ascending colon carcinoma: A case report |
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