Pace Ugo, Contino Gianmarco, Chiappa Antonio, Bertani Emilio, Bianchi Paolo P, Fazio Nicola, Renne Giuseppe, Di Meglio Giovanni, Andreoni Bruno
Division of General and Laparoscopic Surgery, European Institute of Oncology, Milan, Italy.
Case Rep Oncol. 2009 May 26;2(2):92-96. doi: 10.1159/000215945.
The colon is a very rare metastatic localization. Here we report a case of colonic metastases from gastric adenocarcinoma whose clinical presentation was suggestive of a de novo adenocarcinoma of the ascending colon. The authors discuss that in the presence of a previous history of gastric cancer, immunohistochemical analysis on endoscopic biopsies may help in the definition of a differential diagnosis. Furthermore, this rare metastatic localization might suggest a poor prognosis and a more accurate diagnostic work-up.
结肠是一种非常罕见的转移部位。在此，我们报告一例胃腺癌的结肠转移病例，其临床表现提示为升结肠原发性腺癌。作者讨论指出，对于有胃癌既往史的患者，内镜活检的免疫组化分析可能有助于鉴别诊断。此外，这种罕见的转移部位可能提示预后不良，需要更准确的诊断性检查。
