Korean J Med > Volume 74(6); 2008 > Article
The Korean Journal of Medicine 2008;74(6):680-684.
A case of solitary rectal recurrence of gastric cancer
Min Ho Kang, Bae Whan Kim, Seoung Wook Yun, Soon IL Lee, Jeong Eun Shin, Hwan Nam Goong, Won Ae Lee
경희대학교 의과대학 순환기내과학교실
증례 : 직장으로의 고립성 재발을 보인 위암 1예
강민호, 김배환, 윤승욱, 이순일, 신정은, 남궁환, 이원애
Abstract
The present research was conducted through the research fund of Dankook University in 2006. Rectal recurrence of gastric cancer is uncommon. A few cases have been reported, with the majority of them associated with peritoneal recurrence. A 71-year-old man visited our hospital complaining of bowel habit changes and fecal incontinence. He had undergone radical subtotal gastrectomy and postoperative adjuvant chemotherapy for advanced gastric cancer 9 years earlier. Colonoscopy showed a rigidly constricted and erythematous rectum. Abdominopelvic CT showed diffuse rectal wall thickening with enhancement. PET-CT showed a hot uptake in the corresponding area on abdominopelvic CT scan, with no evidence of distant metastasis. We performed transanal full thickness biopsy and confirmed a diagnosis of adenocarcinoma pathologically similar to the former gastric cancer. The patient was diagnosed with solitary rectal recurrence simulating linitis plastica, without gastric remnant recurrence. We report this case with a review of the literature.
Key Words: Gastric cancer; Rectal recurrence; Linitis plastica


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