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위암의 다발성 폴리양 대장 전이 1예
Colonic Metastasis from Gastric Carcinoma Presenting as Multiple Polyps
김중선(Jung Sun Kim),김호근(Hoguen Kim),박인서(In Suh Park),안상훈(Sang Hoon Ahn),윤영훈(Young Hoon Youn),신성관(Sung Kwan Shin),이용찬(Yong Chan Lee),전재윤(Jae Yoon Chon),문영명(Young Myung Moon),강혜윤(Hae Youn Kang)
UCI I410-ECN-0102-2009-510-005533709
This article is 4 pages or less.
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Colonic metastasis from gastric carcinoma is very rare and usually originated from carcinomas of breast, kidney, prostate and ovary. They generally present as segmental stricture, mimicking granulomatous colitis, polyps, or advanced tumors. There were two cases of metastatic gastric carcinomas of colon reported as multiple polypoid colonic mass. Herein, we reported a case of multiple polypoid colonic metastasis from gastric carcinoma. A 46 year old man presented with symptoms of abdominal distension and hematochezia. After diagnosis of gastric carcinoma, the patient underwent radical total gastrectomy with extranodal radical dissection. One year later, colonoscopy revealed multiple colonic polyps showing metastatic deposits of signet ring cell carcinoma histologically. And it is identical to gastric carcinama histologically which had been resected one year ago. (Korean J Gastrointest Endosc 2000;20:299-302)

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