Synchronous Rectal Metastases from Gastric Adenocarcinoma: A Case
|Course||Department of General Surgery|
|Keywords||Gastric cancer Rectal metastasis CDX-2|
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 .