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    题名 作者 年代 出处 被引量
1胃转移性透明细胞癌(肾源性)一例显示文摘患者男,72岁,7个月前体检发现右肾肿物,CT示:右肾肾癌肺转移,其他脏器均未见异常。逐行右肾癌全切术。术后病理诊断为肾透明细胞癌。患者术后未经其他特殊治疗。术后2个月出现食欲不振,反复间断性黑便,于胃管抽出咖啡样物,行止血治疗后好转。10d前又因出现黑便入院,何晓明 景士兵 王卫军 肖明明 2008中华消化内镜杂志2008,25,4:0
2Gastric metastasis presenting as submucosa tumors from renal cell carcinoma:A case report显示文摘BACKGROUND Gastric metastasis from renal cell carcinoma(RCC) is an extremely rare clinical entity.Due to an easily neglected RCC history,nonspecific symptoms and underrecognized endoscopic presentation may lead to a potential diagnostic pitfall in daily clinical practice.CASE SUMMARY We present a case of metastatic gastric tumors arising from RCC 5 years after radical nephrectomy.Simultaneous,multifocal metastases to the gallbladder,pancreas and soft tissue were observed.One year previously,a solitary submucosal discoid tumor with a central depression was detected in the gastric fundus in a 65-year-old man.Endoscopic ultrasonography(EUS) showed a 1.12 x 0.38 cm lesion originating from the deeper mucosal layers with partially discontinuous submucosa.One 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 location.EUS showed a heterogeneous mass that involved the mucosa and submucosal layer.In addition,two small similar submucosal lesions 0.4-0.6 cm in size were detected.These lesions had a central depression,surface mucosal congestion and thickened vessels.The two adjacent lesions in the fundus were resected by endoscopic submucosal dissection.Based on the postoperative pathological analysis,the patient was diagnosed with gastric metastasis from RCC.CONCLUSION Gastric metastasis from RCC should be considered in patients with a history of RCC irrespective of the time interval involved.Wen-Guo Chen Guo-Dong Shan Hua-Tuo Zhu Li-Hua Chen Guo-Qiang Xu 2022World Journal of Clinical Cases2022,10,27:0
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