Khsiba Amal, Moalla Manel, Mahmoudi Moufida, Mohamed Asma Ben, Manel Yaakoubi, Nechi Salwa, Belfekih Houda, Zribi Selim, Medhioub Mouna, Hamzaoui Lamine, Azzouz Mohamed Moussadek
Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
Department of Cytology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
Future Sci OA. 2022 Nov 1;8(8):FSO818. doi: 10.2144/fsoa-2022-0016. eCollection 2022 Sep.
The stomach is rarely a metastatic site of other primary cancers. Gastric metastasis from colonic cancer is exceptional. We hereby report a case of a 54-year-old male patient who underwent a right hemicolectomy for right-sided colon cancer. The pathology exam revealed well differentiated adenocarcinoma, it was classified stage IIb. Regular controls performed including colonoscopy were normal. Four years after colectomy, the patient was admitted for hematemesis with epigastric pain with detoriation of general condition . Gastroscopy revealed a large ulceroproliferative mass in the antropyloric region. Histology showed that this tumor was an adenocarcinoma similar to the primary right colon cancer, which led to the diagnosis of metastatic gastric cancer originating from colon cancer.
胃很少是其他原发性癌症的转移部位。结肠癌转移至胃极为罕见。我们在此报告一例54岁男性患者，该患者因右侧结肠癌接受了右半结肠切除术。病理检查显示为高分化腺癌，分期为IIb期。包括结肠镜检查在内的常规检查均正常。结肠切除术后四年，患者因呕血、上腹部疼痛入院，全身状况恶化。胃镜检查发现胃窦部有一个巨大的溃疡增殖性肿物。组织学检查显示该肿瘤为腺癌，与原发性右结肠癌相似，从而诊断为源自结肠癌的转移性胃癌。
