Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

Alpha-fetoprotein-producing Gastric Cancer with Metastasis to the Scrotum: Case Report

Alpha-fetoprotein 상승을 동반한 위암의 음낭 내 전이: 증례 보고

  • Cho, Young-Joon (Yonsei University College of Medicine) ;
  • Chung, Jae-Joon (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yu, Jeong-Sik (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Joo-Hee (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Dae-Jung (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Ahn, Jhii-Hyun (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cho, Eun-Suk (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 조영준 (연세대학교 의과대학) ;
  • 정재준 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 유정식 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 김주희 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 김대중 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 안지현 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 조은석 (연세대학교 의과대학 강남세브란스병원 영상의학과)
  • Received : 2010.04.09
  • Accepted : 2010.08.06
  • Published : 2010.11.01
⟨ Previous Next ⟩

Abstract

An alpha-fetoprotein-producing gastric cancer is rare, making up only about 3% of all gastric cancers. Further, gastric cancer with metastasis to the scrotum via a transperitoneal route is extremely rare. We report a case of metastatic scrotal mass in a 68-year-old man who had undergone a subtotal gastrectomy and gastroduodenostomy due to signet ring cell type gastric cancer with a description focusing on the radiologic findings.

Alpha-fetoprotein (AFP)을 생산하는 위암은 전체 위암의 3% 정도로 드물며, 또한 위암이 경복막 전이에 의해 음낭에 전이성 병변을 형성하는 경우는 매우 드물다. 저자들은 AFP의 상승을 동반한 인환세포형 조기위암에서 수술 후 음낭 내로 전이된 전이성 종양 1예를 68세 남자에서 경험하였기에 CT 및 초음파 검사 소견과 함께 보고하는 바이다.

Keywords

References

  1. Polychronidis A, Tsolos C, Sivridis E, Botaitis S, Simopoulos C. Spermatic cord metastasis as an initial manifestation of sigmoid colon carcinoma: report of a case. Surg Today 2002;32:376-377 https://doi.org/10.1007/s005950200056
  2. Ouellette JR, Harboe-Schmidt JE, Luthringer D, Brackert S, Silberman AW. Colorectal cancer metastasis presenting as a testicular mass: case report and review of the literature. Am J Surg 2007; 73:79-81
  3. Kanno K, Ohwada S, Nakamura S, Ohya T, Iino Y, Morishita Y, et al. Epididymis metastasis from colon carcinoma: a case report and a review of the Japanese literature. Jpn J Clin Oncol 1994;24:340-344
  4. Koide N, Nishio A, Igarashi J, Kajikawa S, Adachi W, Amano J. Alpha-fetoprotein-producing gastric cancer: histochemical analysis of cell proliferation, apoptosis, and angiogenesis. Am J Gastroenterol 1999;94:1658-1663
  5. Kono K, Amemiya H, Sekikawa T, Iizuka H, Takahashi A, Fujii H, et al. Clinicopathologic features of gastric cancers producing alphafetoprotein. Dig Surg 2002;19:359-365 https://doi.org/10.1159/000065838
  6. Hanash KA, Carney JA, Kelalis PP. Metastatic tumors to the testicles: routes of metastasis. J Urol 1969;102:465-468 https://doi.org/10.1016/S0022-5347(17)62174-8
  7. 김명기, 김홍석, 천성엽, 김형지, 정영범, 김영곤. 위암 환자에서 발생한 전이성 정삭종양. 대한비뇨기과학회지 2003;44:105-107
  8. 이 종, 강승철, 반정현, 신동식, 여정균, 윤동희 등. 위암 환자에서 발생한 음낭수종을 동반하는 전이성 고환초막 종양. 대한비뇨기과학회지 2007;48:667-669
  9. Ota T, Shinohara M, Tanaka M, Date Y, Itakura H, Munakata A, et al. Spermatic cord metastases from gastric cancer with elevation of serum hCG-beta: a case report. Jpn J Clin Oncol 2000;30:239-240 https://doi.org/10.1093/jjco/hyd055
  10. Woodward PJ, Schwab CM, Sesterhenn IA. From the archives of the AFIP: extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics 2003;23:215-240 https://doi.org/10.1148/rg.231025133