Metastatic Mayhem

Submitted by sysadmin1 on Fri, 12/08/2017 - 15:00
Oncology, Gastroenterology and Hepatology Reports,2018,7,1,77-79.
Published:December 2017
Type:Case Report

Metastatic Mayhem

Sonavane Amey Dilip1*, Pal Anil Molairam1, Amarapurkar Deepak Narayan2

1Senior Resident, Department of Gastroenterology, Bombay Hospital and Institute of Medical Sciences, Mumbai INDIA.

2Consultant, Department of Gastroenterology, Bombay Hospital and Institute of Medical Sciences, Mumbai INDIA.

Abstract:

Signet-ring cell carcinoma (SRCC) is a rare type of adenocarcinoma characterised by cancer cells that contain and secrete mucin. We present a unique case of SRCC with the primary lesion in ascending colon and numerous (>100) tumour deposits over the entire length of the gastrointestinal tract along with multiple metastasis in the peritoneum, liver, both lobes of lungs and cervical, mediastinal and abdominal metastatic lymphadenopathy. Primary presentation with such extensive metastatic disease has rarely been described in literature.

Contrast enhanced CT scan of abdomen showing gastric wall thickening and hepatic metastasis.