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隐匿性播散——施尼茨勒转移瘤的揭示：一例报告

The unseen spread-Schnitzler's metastasis unveiled: a case report.

作者信息

Ayyamperumal Jeya Anand, Chandrabose Ambedkar Maravadi Jayaraman, Lakshmanan Anand, Satyanesan Jeswanth

机构信息

Institute of Surgical Gastroenterology and Liver transplantation, Government Stanley Medical College, Chennai, India.

出版信息

Korean J Clin Oncol. 2024 Dec;20(2):88-92. doi: 10.14216/kjco.24013. Epub 2024 Dec 31.

DOI:10.14216/kjco.24013
PMID:39778512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717580/
Abstract

Metastasis to the rectum is very rare and is usually caused by primaries from the breast, gastrointestinal tract, and genitourinary system. We report here a case of acute intestinal obstruction caused by an unusual rectal stenosis, for which he underwent a diversion stoma. On extensive evaluation for the etiology of the rectal stenosis, he was diagnosed with diffuse gastric cancer with Schnitzler's metastasis to the rectal submucosa. This is an unusual type of metastasis, very rarely seen. Only 11 such cases have been reported in the literature.

摘要

直肠转移非常罕见，通常由乳腺、胃肠道和泌尿生殖系统的原发肿瘤引起。我们在此报告一例由罕见的直肠狭窄导致急性肠梗阻的病例，患者接受了造口分流术。在对直肠狭窄的病因进行全面评估时，他被诊断为弥漫性胃癌并伴有施尼茨勒转移至直肠黏膜下层。这是一种罕见的转移类型，文献中仅报道过11例此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/b73136654318/kjco-20-2-88f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/8518d0dcf2c5/kjco-20-2-88f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/5137df83da31/kjco-20-2-88f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/b73136654318/kjco-20-2-88f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/8518d0dcf2c5/kjco-20-2-88f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/5137df83da31/kjco-20-2-88f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2828/11717580/b73136654318/kjco-20-2-88f3.jpg

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1
The unseen spread-Schnitzler's metastasis unveiled: a case report.隐匿性播散——施尼茨勒转移瘤的揭示：一例报告
Korean J Clin Oncol. 2024 Dec;20(2):88-92. doi: 10.14216/kjco.24013. Epub 2024 Dec 31.
2
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Blocked by a Ring: A Case of Gastric Linitis Plastica Presenting as Large Bowel Obstruction Secondary to Rectal Stenosis.被环阻塞：一例表现为直肠狭窄继发大肠梗阻的皮革胃病例
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World J Clin Cases. 2018 Oct 26;6(12):554-558. doi: 10.12998/wjcc.v6.i12.554.

本文引用的文献

1
Pancreatic Carcinoma Causing Schnitzler's Metastasis.导致施尼茨勒转移的胰腺癌
Cureus. 2023 Jul 25;15(7):e42465. doi: 10.7759/cureus.42465. eCollection 2023 Jul.
2
HER2-Negative Schnitzler Metastasis to the Rectum Detected Using 18 F-FDG PET/CT.18F-FDG PET/CT 检测到的直肠 Schnitzler 转移的 HER2 阴性。
Clin Nucl Med. 2022 Sep 1;47(9):826-827. doi: 10.1097/RLU.0000000000004208. Epub 2022 Apr 6.
3
Diffuse gastric cancer: Emerging mechanisms of tumor initiation and progression.弥漫型胃癌：肿瘤发生和演进的新机制。
Biochim Biophys Acta Rev Cancer. 2022 May;1877(3):188719. doi: 10.1016/j.bbcan.2022.188719. Epub 2022 Mar 17.
4
Malignant Large Bowel Obstruction.恶性大肠梗阻
Clin Colon Rectal Surg. 2021 Jul;34(4):251-261. doi: 10.1055/s-0041-1729922. Epub 2021 Jul 20.
5
Blocked by a Ring: A Case of Gastric Linitis Plastica Presenting as Large Bowel Obstruction Secondary to Rectal Stenosis.被环阻塞：一例表现为直肠狭窄继发大肠梗阻的皮革胃病例
ACG Case Rep J. 2019 Mar 6;6(2):e00007. doi: 10.14309/crj.0000000000000007. eCollection 2019 Feb.
6
[Two Cases of Surgical Treatment for Disseminated Gastric Carcinoma].[两例弥漫性胃癌的手术治疗]
Gan To Kagaku Ryoho. 2018 Dec;45(13):2378-2380.
7
[A Case Report of Gastric Cancer with Positive Peritoneal Lavage Cytology and Metachronous Schnitzler's Metastasis Treated with Multimodality Therapy].[一例伴有阳性腹腔灌洗细胞学检查及异时性施尼茨勒转移的胃癌多模式治疗病例报告]
Gan To Kagaku Ryoho. 2017 Nov;44(12):1626-1628.
8
[A case of long-term survival of advanced gastric cancer with schnitzler metastasis effectively treated with combination chemotherapy].[1例晚期胃癌伴施尼茨勒转移经联合化疗有效治疗后长期生存的病例]
Gan To Kagaku Ryoho. 2014 Nov;41(12):2411-3.
9
Successful Self-Expandable Metallic Stent Placement for a Case of Distal Rectal Stenosis due to Gastric Cancer Metastasis.成功置入自膨式金属支架治疗一例因胃癌转移导致的直肠远端狭窄
Case Rep Gastroenterol. 2013 May 18;7(2):214-8. doi: 10.1159/000351818. Print 2013 May.
10
Unusual rectal stenosis.罕见的直肠狭窄。
J Surg Oncol. 2010 Nov 1;102(6):713. doi: 10.1002/jso.21632.