-
Original Article
-
Korean J Med. 2008;74(6):680-684.
- 증례 : 직장으로의 고립성 재발을 보인 위암 1예
-
강민호, 김배환, 윤승욱, 이순일, 신정은, 남궁환, 이원애
-
- 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
-
- 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.
Keywords :Gastric cancer, Rectal recurrence, Linitis plastica
