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Gastric Metastasis from Gastric-Type Mucinous Adenocarcinoma of Uterine Cervix: A Case Report

자궁경부 위형 점액샘암종의 위 전이: 증례 보고

  • Min Hye Kim (Department of Radiology, Korea University Guro Hospital) ;
  • Kyeong Ah Kim (Department of Radiology, Korea University Guro Hospital) ;
  • Yi Kyeong Chun (Department of Pathology, Korea University Guro Hospital) ;
  • Jeong Woo Kim (Department of Radiology, Korea University Guro Hospital) ;
  • Jongmee Lee (Department of Radiology, Korea University Guro Hospital) ;
  • Chang Hee Lee (Department of Radiology, Korea University Guro Hospital)
  • 김민혜 (고려대학교 의과대학 구로병원 영상의학과) ;
  • 김경아 (고려대학교 의과대학 구로병원 영상의학과) ;
  • 전이경 (고려대학교 의과대학 구로병원 병리과) ;
  • 김정우 (고려대학교 의과대학 구로병원 영상의학과) ;
  • 이종미 (고려대학교 의과대학 구로병원 영상의학과) ;
  • 이창희 (고려대학교 의과대학 구로병원 영상의학과)
  • Received : 2023.08.20
  • Accepted : 2023.09.30
  • Published : 2024.03.01

Abstract

Gastric metastasis (GM) from cervical cancer is extremely rare, and only a few cases have been reported in the English literature. Gastric-type mucinous adenocarcinomas (GAS) of the uterine cervix are rare. GAS is an aggressive cancer commonly found in advanced stages; however, GM has not been reported. This study presents a rare case of GM from GAS of the uterine cervix in a 61-year-old female and describes the radiological findings of both the GM and cervical mucinous adenocarcinoma. GM appeared as a poor enhancing submucosal mass. The cervical mucinous adenocarcinoma appeared as an infiltrating mass with poor contrast enhancement. It exhibited mildly high and low signal intensities on the diffusion-weighted image and apparent diffusion coefficient map, respectively. This case is extremely rare and challenging to diagnose; however, if cervical cancer is an human papillomavirus-independent GAS type and a submucosal lesion is found in the stomach, the possibility of metastasis with a pattern similar to our case could be considered.

자궁 경부암의 위 전이는 매우 드물며, 소수의 증례만이 영문 문헌에서 보고되었다. 자궁경부 위형 점액샘암종은 드문 아형의 점액샘암종이다. 위형 점액샘암종은 진행성 암에서 발견되는 공격적인 암이지만, 위로의 전이는 보고된 바 없다. 저자들은 61세 여성의 자궁경부 위형 점액샘암종이 위 날문방에 전이된 증례를 보고하며 위 전이 및 자궁경부 점액샘암종의 영상의학적 소견을 서술하고자 한다. 위 전이는 조영증강이 잘되지 않는 점막 하 종괴로 보였다. 점액샘암종은 조영증강이 잘되지 않는 침윤성 종괴로 보였다. 확산강조영상에서는 경도의 고신호강도를 보였고 겉보기확산계수 지도에서는 낮은 값을 보였다. 이 사례는 매우 드물며 진단이 어렵지만, 자궁경부암의 유형이 사람유두종바이러스 비의존 위형 점액샘암종이며 동시에 위의 점막 하 병변이 발견된 경우, 우리 사례와 유사한 패턴의 전이 가능성을 고려할 수 있다.

Keywords

References

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