Abstract

The stomach is a very rare location of metastatic deposits. We present a case of a gastric metastatic deposit from primary colon cancer. Computed tomography (CT) indicated primary colon cancer, but also revealed the presence of cancer in the region of the gastric greater curvature and gastric antrum. With the progression of primary cancer and the creation of an extraluminal tumor mass, the process progresses in the manner that the primary transversal colon tumor merges into the metastatic deposit located in the stomach. The patient underwent subtotal gastrectomy and D2 lymphadenectomy, as well as partial resection of the transversal colon, thus the tumor mass of the stomach and the one in the transversal colon being removed in a single act. Pathohistological analysis of the tumor mass and immunohistochemical tests revealed a primary neoplastic infiltrative process in the colon metastasizing into the stomach.

Highlights

  • The stomach is a very rare location of metastatic deposits

  • After the pathohistological analysis of the removed abdominal TU mass and the performed immunohistochemically examinations with CK20 which is positive for the tumor population and CK7 which is negative for the tumor population, a final pathohistological diagnosis is made for primary cancer of the colon with metastasis

  • After the analysis of Computed tomography (CT) angiography made 7 months ago, we think that it is the primary cancer of the colon with a metastatic deposit in the stomach

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Summary

Introduction

We present a case of a gastric metastatic deposit from primary colon cancer. Pathohistological analysis of the tumor mass and immunohistochemical tests revealed a primary neoplastic infiltrative process in the colon metastasizing into the stomach. Rare cases of metastases from colorectal cancer of the spleen, thyroid, esophagus, stomach, urinary tract, and abdominal wall have been reported in the literature [2].

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Conclusion
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