Sernaz UZUNOĞLU, İrfan ÇİÇİN, Hakan KARAGÖL, ÖZGÜR TANRIVERDİ, Hakan GENÇHELLAÇ, Ufuk USTA

Rektuma linitis plastika şeklinde metastaz yapan ve primer rektum kanseri gibi görünen mide adenokarsinomu: Olgu sunumu

Gastrointestinal sistemde linitis plastika şeklindeki metastazlar nadir olup sıklıkla primer tümörün mide olduğu bildirilmektedir. Biz rektuma linitis plastika şeklinde metastaz yapan mide adenokarsinom olgumuzu ender rastlanması ve primer lokal ileri rektum kanseri şeklinde karşımıza çıkması sebebiyle literatür bilgileri ışığında, gastrik adenokarsinomaların intestinal metastazlarının klinik, radyolojik ve patolojik özelliklerini de tartışarak sunmayı amaçladık.

Anahtar Kelimeler:

Mide neoplazmları, Neoplazm metastazı, Tomografi, x-ışınlı bilgisayarlı, Adenokarsinom, Erkek, Orta yaşlı, Rektum neoplazmları, Antineoplastik birleşik kemoterapi protokolleri

A case of gastric adenocarcinoma with rectal metastasis in the form of linitis plastica presenting as primary rectum carcinoma

It is often reported that metastases in the form of linitis plastica developed in the gastrointestinal system are rare cases and frequently the primary tumor is located in the stomach. We presented a case of gastric adenocarcinoma developing a metastasis in the rectum in the form of linitis plastica, which appeared as a primary local advanced rectum cancer. We discussed the clinical, radiological, and pathological characteristics of the intestinal metastases of gastric adenocarcinomas.

Keywords:

Stomach Neoplasms, Neoplasm Metastasis, Tomography, X-Ray Computed, Adenocarcinoma, Male, Middle Aged, Rectal Neoplasms, Antineoplastic Combined Chemotherapy Protocols,

PDF

___

1) Alberts SR, Goldberg RM. Gastrointestinal tract cancers. In: Casciato DA, editor. Manuel of clinical oncology. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2004. p. 185-232.
2) Katon RM, Brendler SJ, Ireland K. Gastric linitis plastica with metastases to the colon: a mimic of Crohn's disease. J Clin Gastroenterol 1989;11:555-60.
3) Flatau E, Resnitzky P, Grishkan A, Chaimowich O, Levy E. Linitis plastica infiltrating the entire gut. Am J Gastroenterol 1982;77:559-61.
4) Feczko PJ, Collins DD, Mezwa DG. Metastatic disease involving the gastrointestinal tract. Radiol Clin North Am 1993;31:1359-73.
5) Graham WP, Goldman L. Gastrointestinal metastasis from carsinoma of the breast. Ann Surg 1964; 159:477-480.
6) Fernet P, Azar HA, Stout AP. Intramural (tubal) spread of linitis plastica along the alimentary tract. Gastroenterology 1965;48:419-24.
7) Jang HJ, Lim HK, Kim HS, Cho EY, Lee SJ, Kim KA, et al. Intestinal metastases from gastric adenocarcinoma: helical CT findings. J Comput Assist Tomogr 2001;25:61-7.
8) Ha HK, Jee KR, Yu E, Yu CS, Rha SE, Lee IJ, et al. CT features of metastatic linitis plastica to the rectum in patients with peritoneal carcinomatosis. AJR Am J Roentgenol 2000;174:463-6.
9) Ko GY, Ha HK, Lee HJ, Jeong YK, Kim PN, Lee MG, et al. Usefulness of CT in patients with ischemic colitis proximal to colonic cancer. AJR Am J Roentgenol 1997;168:951-6.
10) Iwabuchi M, Hiwatashi N, Suziki T, Teshima S, Saito T, Suziki H, et al. Multiple depressed-type colonic cancer (IIC)-like configurations: metastases from gastric cancer. Digestive Endoscopy 2002; 14:73-7.