Article Text

Unusual presentation of more common disease/injury
Gastric mucosal metastasis from primary colorectal carcinoma
  1. Ahmed Mohamed Soliman1,
  2. Abhi Valliattu2,
  3. Tim Wheatley3,
  4. Neil Robertson4
  1. 1
    Royal London Hospital, Musculoskeletal Department, Royal London Hospital, Whitechapel, London E1 1BB, UK
  2. 2
    Derriford Hospital, General Surgery, Derriford Road, Plymouth PL6 8DH, UK
  3. 3
    Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK
  4. 4
    Derriford Hospital, Histopathology, Derriford Road, Plymouth PL6 8DH, UK
  1. Ahmed Mohamed Soliman, asoliman101{at}


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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  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication