Unusual presentation of more common disease/injury
Gastric mucosal metastasis from primary colorectal carcinoma
1 Royal London Hospital, Musculoskeletal Department, Royal London Hospital, Whitechapel, London E1 1BB, UK
2 Derriford Hospital, General Surgery, Derriford Road, Plymouth PL6 8DH, UK
3 Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK
4 Derriford Hospital, Histopathology, Derriford Road, Plymouth PL6 8DH, UK
Correspondence to:
Ahmed Mohamed Soliman, asoliman101{at}googlemail.com
A 44-year-old man with a background of metastatic colorectal cancer presented with haematemesis. An oesophago-gastroduodenoscopy was performed and revealed five focally haemorrhagic grey mucosal lesions in the body and fundus regions of the stomach between 5 mm and 4 mm in diameter. The biopsies of the gastric mucosal lesions showed invasive poorly differentiated adenocarcinoma in which signet ring cells were a prominent component, thus related to the primary cancer. The background mucosa showed no dysplasia.
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