Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Gastric Metastasis of Primary Lung Adenocarcinoma Mistaken for Primary Gastric Cancer

원발성 위암으로 오인된 전이성 비소세포 폐암 1예

  • Park, Young Sik (Department of Internal Medicine and Lung Institute of Medical Research Center, Seoul National University College of Medicine) ;
  • Lee, Jin Woo (Department of Internal Medicine and Lung Institute of Medical Research Center, Seoul National University College of Medicine) ;
  • Lim, Hyo-Jeong (Department of Internal Medicine and Lung Institute of Medical Research Center, Seoul National University College of Medicine) ;
  • Lee, Geon Kook (Center for Lung Cancer, National Cancer Center) ;
  • Hwangbo, Bin (Center for Lung Cancer, National Cancer Center) ;
  • Lee, Hee Seok (Center for Lung Cancer, National Cancer Center)
  • 박영식 (서울대학교 의과대학 내과학교실 및 의학연구원 폐연구소) ;
  • 이진우 (서울대학교 의과대학 내과학교실 및 의학연구원 폐연구소) ;
  • 임효정 (서울대학교 의과대학 내과학교실 및 의학연구원 폐연구소) ;
  • 이건국 (국립암센터 폐암센터) ;
  • 황보빈 (국립암센터 폐암센터) ;
  • 이희석 (국립암센터 폐암센터)
  • Received : 2008.10.12
  • Accepted : 2008.11.05
  • Published : 2009.01.30
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Abstract

The stomach is a rare site for metastasis, with autopsy incidence rates of 0.2% to 1.7%. This low rate makes diagnosis of metastatic gastric cancer challenging for clinicians. The authors report a case of a 64-year-old man diagnosed with gastric metastasis of primary lung adenocarcinoma that was initially mistaken for primary gastric cancer, as well as a review of the medical literature.

전이성 위암은 발생 빈도가 매우 낮으며, 부검 연구를 통한 발생률은 0.2%에서 1.7%으로 알려져 있다. 전이성 위암과 원발성 위암은 육안으로 구별되지 않으며, 특히 병리학적으로 선암이 나온 경우 임상적 문제가 발생할 수 있다. 64세 남자 환자가 외부병원에서 객혈을 토혈로 오인하여 우연히 발견하게 된 위악성종양에 대해 위부분절 제술을 먼저 시행 받았다가, 이후에도 지속된 객혈로 폐암이 발견되어 다시 폐엽절제술을 시행 받은 후, 다시 재발한 폐암으로 본원을 방문하였다가 면역조직화학염색을 통해 최초의 위암이 폐암의 위 전이였음을 확인한 드문 예를 경험하여 이를 보고한다.

Keywords

References

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  1. Adenocarcinoma of Lung Cancer with Solitary Metastasis to the Stomach vol.64, pp.3, 2009, https://doi.org/10.4166/kjg.2014.64.3.154