Gastric metastasis presenting as submucosa tumors from renal cell carcinoma:A case report
作者机构：Department of GastroenterologyThe First Affiliated Hospital of Zhejiang University School of MedicineHangzhou 310003Zhejiang ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第27期
页 面：9805-9813页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
基 金：Supported by the Natural Science Foundation of Zhejiang Province No. LY19H030009 and No. LY20H030010
主 题：Gastric metastasis Renal cell carcinoma Nephrectomy Endoscopic ultrasonography Endoscopic submucosal dissection Case report
摘 要：BACKGROUND Gastric metastasis from renal cell carcinoma(RCC) is an extremely rare clinical *** to an easily neglected RCC history,nonspecific symptoms and underrecognized endoscopic presentation may lead to a potential diagnostic pitfall in daily clinical *** SUMMARY We present a case of metastatic gastric tumors arising from RCC 5 years after radical ***,multifocal metastases to the gallbladder,pancreas and soft tissue were *** year previously,a solitary submucosal discoid tumor with a central depression was detected in the gastric fundus in a 65-year-old *** ultrasonography(EUS) showed a 1.12 x 0.38 cm lesion originating from the deeper mucosal layers with partially discontinuous *** year later,the endoscopic findings of the lesion showed various changes.A large lesion of the protruding type(2.5 cm × 2 cm) was found in the fundus at the same *** showed a heterogeneous mass that involved the mucosa and submucosal *** addition,two small similar submucosal lesions 0.4-0.6 cm in size were *** lesions had a central depression,surface mucosal congestion and thickened *** two adjacent lesions in the fundus were resected by endoscopic submucosal *** on the postoperative pathological analysis,the patient was diagnosed with gastric metastasis from *** Gastric metastasis from RCC should be considered in patients with a history of RCC irrespective of the time interval involved.
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