Multiple Bone Metastasis and Leptomeningeal Carcinomatosis from Early Gastric Cancer

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2010;10(2):66-69.
Published online December 10, 2010.

조기위암에 동반된 다발성 골 전이와 연질뇌척수막 전이

강선형ㆍ은혁수*ㆍ이엄석*ㆍ문희석*ㆍ김석현*ㆍ성재규*ㆍ이병석*ㆍ정현용*

국군대전병원 내과, 충남대학교병원 소화기내과*

Abstract

Early gastric cancer (EGC) is defined as a cancer confined to the mucosa and submucosa (SM) regardless of lymph node (LN) metastasis. Well-known LN-metastasis-related-factors are tumor size and invasion of the SM layer. Metastasis to the LN or any other organ rarely occurs in small and shallow EGC. Signet ring cell carcinoma (SRC) of stomach at early stage usually shows low incidence of LN metastasis and has better survival compared with other types of stomach cancer. We experienced a rare case of mucosal early gastric cancer (SRC) with LN metastasis, multiple bone metastasis and leptomeningeal carcinomatosis. (The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2010;10:66-69)

Key Words: Early gastric cancer, Signet ring cell carcinoma, Bone metastasis, Leptomeningeal carcinomatosis