Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Solitary Metastatic Colon Cancer Showing a Small Depressed Configuration
Hidetsugu YamagishiTaku SakamotoTakahisa MatsudaTakeshi NakajimaYutaka Saito
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JOURNAL OPEN ACCESS

2012 Volume 51 Issue 17 Pages 2321-2324

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Abstract

We herein present a case of IIc-like metastatic lung cancer that was detected early. A 65-year-old man presented with diarrhea and difficulty walking. Colonoscopy demonstrated a depressed lesion in the descending colon. However, the appearance of the lesion by endoscopy with a magnifying objective was not compatible with early colon cancer. Therefore, we performed diagnostic endoscopic mucosal resection to allow for an examination of the whole lesion. A histological examination demonstrated lung cancer metastasis to the colon. Only 1.6% of lung cancers metastasize to the large intestine, and metastatic colorectal cancer is not usually detected at an early stage. In the present case, however, endoscopy and a histological examination revealed alterations in the mucosal configuration of the lesion, which were unusual for early colon cancer.

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© 2012 by The Japanese Society of Internal Medicine
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