Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report
A 54-year-old man presented with constipation with a six-month duration and a 5 kg weight loss over 10 months. He had undergone a subtotal gastrectomy and chemotherapy for advanced gastric cancer 13 years earlier. A colonoscopy revealed a firm, circular, in-growing mass in the rectum. A computed tom...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Jin Publishing & Printing Co.
2024-12-01
|
| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.kjg.or.kr/journal/view.html?uid=6070&vmd=Full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841558807896915968 |
|---|---|
| author | Jun Kyeong Lim Suk Bae Kim Hyun Deok Shin |
| author_facet | Jun Kyeong Lim Suk Bae Kim Hyun Deok Shin |
| author_sort | Jun Kyeong Lim |
| collection | DOAJ |
| description | A 54-year-old man presented with constipation with a six-month duration and a 5 kg weight loss over 10 months. He had undergone a subtotal gastrectomy and chemotherapy for advanced gastric cancer 13 years earlier. A colonoscopy revealed a firm, circular, in-growing mass in the rectum. A computed tomography (CT) scan showed a 3.0×1.2 cm invasive mass near the prostate, abutting the rectal wall and invading the right ureterovesical junction, causing hydroureteronephrosis. A positron emission tomography-CT scan indicated
low fluorodeoxyglucose uptake in the rectal or prostate area. The biopsy results showed poorly differentiated carcinoma. An immunohistochemistry study confirmed CK7 positive, CK20 negative, MUC2 negative, and CDX2 focally positive immune phenotype for cancer cells, suggesting a diagnosis of metastatic adenocarcinoma with a gastric origin rather than a prostate and rectal origin. |
| format | Article |
| id | doaj-art-efc424652d64427ab711b8afdc9e53a7 |
| institution | Kabale University |
| issn | 1598-9992 2233-6869 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj-art-efc424652d64427ab711b8afdc9e53a72025-01-06T05:57:25ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692024-12-0184628228710.4166/kjg.2024.091Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case ReportJun Kyeong Lim0Suk Bae Kim1Hyun Deok Shin2https://orcid.org/0000-0002-2016-4649Department of Internal Medicine, Dankook University College of Medicine, Dankook University College of Medicine, Cheonan, KoreaDivision of Gastroenterology, Department of Internal Medicine, Dankook University College of Medicine, Cheonan, KoreaDivision of Gastroenterology, Department of Internal Medicine, Dankook University College of Medicine, Cheonan, KoreaA 54-year-old man presented with constipation with a six-month duration and a 5 kg weight loss over 10 months. He had undergone a subtotal gastrectomy and chemotherapy for advanced gastric cancer 13 years earlier. A colonoscopy revealed a firm, circular, in-growing mass in the rectum. A computed tomography (CT) scan showed a 3.0×1.2 cm invasive mass near the prostate, abutting the rectal wall and invading the right ureterovesical junction, causing hydroureteronephrosis. A positron emission tomography-CT scan indicated low fluorodeoxyglucose uptake in the rectal or prostate area. The biopsy results showed poorly differentiated carcinoma. An immunohistochemistry study confirmed CK7 positive, CK20 negative, MUC2 negative, and CDX2 focally positive immune phenotype for cancer cells, suggesting a diagnosis of metastatic adenocarcinoma with a gastric origin rather than a prostate and rectal origin.https://www.kjg.or.kr/journal/view.html?uid=6070&vmd=Fullgastric cancerlate recurrencesubtotal gastrectomyrectal metastasisschnitzler’s metastasis |
| spellingShingle | Jun Kyeong Lim Suk Bae Kim Hyun Deok Shin Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report The Korean Journal of Gastroenterology gastric cancer late recurrence subtotal gastrectomy rectal metastasis schnitzler’s metastasis |
| title | Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report |
| title_full | Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report |
| title_fullStr | Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report |
| title_full_unstemmed | Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report |
| title_short | Metachronous Schnitzler’s Metastasis of Gastric Adenocarcinoma 13 Years After Curative Resection: A Case Report |
| title_sort | metachronous schnitzler s metastasis of gastric adenocarcinoma 13 years after curative resection a case report |
| topic | gastric cancer late recurrence subtotal gastrectomy rectal metastasis schnitzler’s metastasis |
| url | https://www.kjg.or.kr/journal/view.html?uid=6070&vmd=Full |
| work_keys_str_mv | AT junkyeonglim metachronousschnitzlersmetastasisofgastricadenocarcinoma13yearsaftercurativeresectionacasereport AT sukbaekim metachronousschnitzlersmetastasisofgastricadenocarcinoma13yearsaftercurativeresectionacasereport AT hyundeokshin metachronousschnitzlersmetastasisofgastricadenocarcinoma13yearsaftercurativeresectionacasereport |