Инванзивен карцином на колон со метастаза на желудник
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Желудникот е многу ретка метастатска локализација. Прикажуваме случај на метастатски депозит на желудник од карцином на колон. Kомпјутеризираната томографија (КT) укажуваше на примарен карцином на дебелото црево, но истовремено се детектира и карцином во предел на големата кривина и антрумот на желудникот. Со прогресија на примарниот карцином исоздавање на екстралуминална туморскамаса, процесот прогредира при што доаѓа до спојување на примарниот тумор на трансверзалниот дел на колонот со метастатскиот депозит во желудникот. Кај пациентот беше извршена субтотална гастректомија и Д2 лимфаденектомија, како и парцијална ресекција на колонот, при што, во еден акт е отстранета туморскатамаса на желудникот и трансверзалниот дел од колонот. Со патохистолошка анализа на туморот и со имунохистохемиски испитувања се утврди дека станува збор за примарен неоинфилтративен процес на колонот со метастаза на желудникот.
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Референци
World Cancer Research Fund and American Institute for Cancer Research Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective.Washington, DC: American Institute for Cancer Research, 2007.
Iioka Y, Tsuchida A, Okubo K, Ogiso M, Ichimiya H, Saito K, et al. Metachronous triple cancers of the sigmoid colon, stomach, and esophagus: report of a case. Surg Today. 2000; 30: 368-71. http://dx.doi.org/10.1007/s005950050602 PMid:10795871 DOI: https://doi.org/10.1007/s005950050602
Green LK. Hematogenous metastases to the stomach. A reviewof 67 cases. Cancer. 1990;65:1596–600. http://dx.doi.org/10.1002/1097-0142(19900401)65:7<1596::AID-CNCR2820650724>3.0.CO;2-5 DOI: https://doi.org/10.1002/1097-0142(19900401)65:7<1596::AID-CNCR2820650724>3.0.CO;2-5
Feczko PJ, Collins DD, Mezwa DG. Metastatic disease involving the gastrointestinal tract. Radiol Clin North Am. 1993;31:1359–1373. PMid:8210355 DOI: https://doi.org/10.1016/S0033-8389(22)00325-6
Pricop C, Lefter LP, Scripcariu V, Danciu M, Buleu D, Dragomir C. Metachronous primary cancers of the colon and stomach. Rev Med Chir Soc Med Nat Iasi. 2005; 109: 817-21. PMid:16610181
Campoli PM, Ejima FH, Cardoso DM, Silva OQ, Santana Filho JB, Queiroz Barreto PA, Machado MM, Mota ED, Araujo Filho JA, Alencar Rde C, Mota OM. Metastatic cancer to the stomach. Gastric Cancer. 2006;9(1):19-25. http://dx.doi.org/10.1007/s10120-005-0352-5 PMid:16557432
Lee HC, Yang MT, Lin KY, Tu HY, Zhang TA, Chen PH. Metastases from gastric carcinoma to colon in the form of multiple flat elevated lesions: a case report. Kaohsiung J Med Sci. 2004;20:552–557. http://dx.doi.org/10.1016/S1607-551X(09)70257-8 DOI: https://doi.org/10.1016/S1607-551X(09)70257-8
Oncel M, Kurt N, Altuntas YE, Ozturk S, Ozdemir N, Bahadir I. A patient with metachronous gastric, colonic, and thyroid cancers: a case report. Int Surg. 2003; 88:1-5. PMid:12731722
Sim HL, Tan KY, Poon PL and Cheng A: Primary rectal signet ring cell carcinoma with peritoneal dissemination and gastric secondaries. World J Gastroenterol. 2008;14: 2118-2120. http://dx.doi.org/10.3748/wjg.14.2118 PMCid:PMC2701538 DOI: https://doi.org/10.3748/wjg.14.2118
Tung SY, Wu CS, Chen PC. Primary signet ring cell carcinoma of colorectum: an age- and sex-matched controlled study. Am J Gastroenterol. 1996;91: 2195-2199. PMid:8855747
Chen JS, Hsieh PS, Chiang JM, et al: Clinical outcome of signet ring cell carcinoma and mucinous adenocarcinoma of the colon. Chang Gung Med J. 2010;33: 51-57. PMid:20184795
Campoli PM, Ejima FH, Cardoso DM, Silva OQ, Santana Filho JB, Queiroz Barreto PA, Machado MM, Mota ED, Araujo Filho JA, Alencar Rde C, Mota OM. Metastatic cancer to the stomach. Gastric Cancer. 2006;9(1):19-25. http://dx.doi.org/10.1007/s10120-005-0352-5 PMid:16557432 DOI: https://doi.org/10.1007/s10120-005-0352-5
Tamura M, Shinagawa M, Funaki Y. Synchronous triple early cancers occurring in the stomach, colon and gallbladder. Asian J Surg. 2003; 26:46-9. http://dx.doi.org/10.1016/S1015-9584(09)60216-5 DOI: https://doi.org/10.1016/S1015-9584(09)60216-5
Ahmad Z, Memon A, Minhas K. Metachronous primary cancers of colon and stomach. J Coll Physicians Surg Pak. 2008;18(2):118-20. PMid:18454902
Lagendijk JH, Mullink H, Van Diest PJ, Meijer GA, Meijer CJ. Tracing the origin of adenocarcinomas with unknown primary using immunohistochemistry: differential diagnosis between colonic and ovarian carcinomas as primary sites. Hum Pathol. 1998; 29: 491-7. http://dx.doi.org/10.1016/S0046-8177(98)90065-X DOI: https://doi.org/10.1016/S0046-8177(98)90065-X
Park SY, Kim HS, Hong EK, Kim WH. Expression of cytokeratins 7 and 20 in primary carcinomas of the stomach and colorectum and their value in the differential diagnosis of metastatic carcinomas to the ovary. Hum Pathol. 2002; 33: 1078-85. http://dx.doi.org/10.1053/hupa.2002.129422 PMid:12454811 DOI: https://doi.org/10.1053/hupa.2002.129422
Mukai M, Makuuchi H, Mukohyama S, Oida Y, Himeno S, Nishi T, et al. Quintuple carcinomas with metachronous triple cancer of the esophagus, kidney and colonic conduit following synchronous double cancer of the stomach and duodenum. Oncol Rep. 2001; 8:111-4. http://dx.doi.org/10.3892/or.8.1.111 DOI: https://doi.org/10.3892/or.8.1.111
Nakata Y, Kimura K, Tomioka N, Kawasaki S, Takagaki Y. Successful simultaneous operation of concomitant early gastric cancer, transverse colon cancer, and a common iliac artery aneurysm. Surg Today. 1999; 29:782-4. http://dx.doi.org/10.1007/BF02482327 PMid:10483757 DOI: https://doi.org/10.1007/BF02482327
Brahmbhatta P, et al. Recurrent Adenocarcinoma of Colon Presenting as Duo-denal Metastasis with Partial Gastric Outlet Obstruction: A Case Report With Review of Literature. World J Oncol. 2013;4(2):102-106. DOI: https://doi.org/10.4021/wjon624w