18F-fluorodeoxyglucose-positoron emission tomography/computed tomography (FDG-PET/CT) で発見されたS状結腸癌術後胃転移の1例

S. Shirakawa, K. Kaneda, H. Fujiwara, Tohru Nishimura, Hiroyoshi Sendo, T. Wada, T. Kizaki
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引用次数: 2

Abstract

: We report a rare case of a 73-year-old man with gastric metastasis from colorectal cancer. Tumors of the stomach and the right side abdominal wall were diagnosed by FDG/PET-CT. Upper gastrointestinal endoscopy revealed a submucosal tumor with central depression in the fornix of the stomach. Since sigmoidectomy had been performed for cancer 39 months ago, we suspected metastasis. Proximal gastrectomy and resection of the tumor of the abdominal wall were performed. Histological findings showed moderately differentiated adenocarcinoma in the submucosal tumor. Immunohistochemical studies revealed focal positive staining for CK20 and diffuse for CDX2. These findings were similar to those of his primary sigmoid colon cancer and therefore metastasis was diagnosed.
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18f - florodeoxyglucose -positoron emission tomography/computed tomography (FDG-PET/CT)中发现的一例乙状结肠癌术后胃转移
我们报告一例73岁男性结直肠癌胃转移的罕见病例。经FDG/PET-CT诊断为胃及右侧腹壁肿瘤。上消化道内窥镜检查显示胃穹窿处有一粘膜下肿瘤,呈中央凹陷。由于39个月前曾行乙状结肠切除术,我们怀疑有转移。行胃近端切除术及腹壁肿瘤切除术。组织学表现为黏膜下肿瘤为中分化腺癌。免疫组化研究显示CK20呈局灶性阳性,CDX2呈弥漫性阳性。这些发现与他的原发性乙状结肠癌相似,因此被诊断为转移。
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