A CASE OF METASTASES FROM GASTRIC ADENOCARCINOMA PRESENTING AS MULTIPLE COLONIC POLYPS

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  • 胃癌切除後の多発大腸ポリープを呈した転移性大腸癌の1例

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Abstract

A 67-year-old woman was seen at the hospital because her stool was positive for occult blood at a medical checkup in December, 1995. Previous history disclosed that she underwent a subtotal gastrectomy for signet ring cell carcinoma of the stomach in April, 1992. After admission to the hospital, a total colonoscopy detected four IIa + IIc type polyps. The colonic polyps were diagnosed as metastases to mucosal and submucosal lesions from the original gastric carcinoma.<br> A subtotal colectomy was performed. During operation no carcinomatous peritonitis was present but only paraaortic lymph node metastasis was seen.<br> It is rare that colonic metastases from gastric carcinoma presented as multiple colonic polyps like in this case.

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