Colorectal Metastasis of Advanced Gastric Cancer Presenting as Multiple Colorectal Polyps

Seok Jong Lee; Woo Chul Chung

doi:10.4166/kjg.2016.68.1.54

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Lee and Chung: Colorectal Metastasis of Advanced Gastric Cancer Presenting as Multiple Colorectal Polyps

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Korean J Gastroenterol 2016;68(1):54-56.

Published online: 4 October 2016

DOI: https://doi.org/10.4166/kjg.2016.68.1.54

Colorectal Metastasis of Advanced Gastric Cancer Presenting as Multiple Colorectal Polyps

Seok Jong Lee, Woo Chul Chung

Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Correspondence to: Woo Chul Chung, Department of Internal Medicine, The Catholic University of Korea, St. Vincent's Hospital, 93-6 Jungbu-daero, Paldal-gu, Suwon 16247, Korea. Tel: +82-31-249-7138, Fax: +82-31-253-8898, E-mail: jwchulkr@catholic.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1.

Initial abdominal CT finding. The bilateral masses (right ovary, 22.3×21.4×16.9 cm; left ovary, 6.2×6.2×5.5 cm) and large amount of ascites suggested advanced ovary cancer.

Fig. 2.

Esophagogastroduodenoscopic finding. A 1.8 cm depressed lesion with mucosal convergence is seen in the great curvature side of the midbody.

Fig. 3.

Colonoscopic finding. Raised erosion (0.5 cm) is revealed in the mid descending colon.

Fig. 4.

Microscopic finding of colonic lesion. Poorly differentiated adenocarcinoma with signet ring cell component is seen (H&E, ×200).

Fig. 5.

Another case of colonic metastasis of gastric adenocarcinoma. (A) Segmental wall thickening at the mid transverse colon was observed at abdominal CT (arrow). (B) Metastatic colon cancer from gastric adenocarcinoma shows typical linea platisca pattern at mid transverse colon.

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