Dissertation
Dissertation > Medicine, health > Oncology > Gastrointestinal Cancer > Gastric neoplasms

Synchronous Rectal Metastases from Gastric Adenocarcinoma: A Case

Author ZhuLei
Tutor CaiXiuJun
School Zhejiang University
Course Department of General Surgery
Keywords Gastric cancer Rectal metastasis CDX-2
CLC R735.2
Type Master's thesis
Year 2010
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Gastric cancer is the most common malignant tumor of the digestive system , gastric malignancy mortality worldwide occupy the second place . A gastric cancer often transferred to other organs of the body , however, transferred to the rectum rarely occur . We now report a case of abdominal pain , bloating and melena main symptoms of stomach cancer cases . Patients with elevated serum CEA levels ; endoscopy shows antral huge ulcer , pathological as in poorly differentiated adenocarcinoma ; colonoscopy a straight B at the junction of mass , pathology prompted adenocarcinoma ; abdominal CT enhancement display the antrum wall thickening with soft tissue mass rectosigmoid junction of wall thickening . Patients with gastric cancer after radical resection of rectal cancer , postoperative pathological prompted stomach - poorly differentiated adenocarcinoma of the rectum - poorly differentiated adenocarcinoma, immunohistochemistry of prompt CDX- 2 , CK7 positive , CK20 negative . The summary of this case - poorly differentiated gastric adenocarcinoma rectum synchronous transfer .

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