Abstract
A tumor metastatized to the stomach from a tumor of the other organ is relatively rare. We report a case of hemangiosarcoma (HAS) originated in the soft tissue of the genital area metastatized to the stomach and the duodenum.
We tried a method of topical injection of pure ethanol under endoscopy to stop the bleeding in this case.
This case was a 70-year-old female, who noticed a tumor in the genital area six years ago for the first time. She had this tumor extirpated and received chemotherapy after that. She got similar therapy four times thereafter and she also started radiation therapy of 60Co five months prior to admission. She was admitted this time because of the bleed-ing from the tumor in her tonsils, which was diagnosed as HAS by biopsy. Her labora-tory studies on admission revealed the findings of iron deficiency anemia.
We tried a method of topical injection of pure ethanol under direct endoscopic obser-vation, which was effective in stopping the tarry stool.
We could not find a case report of a metastatic HAS to the stomach. We could only find a case of metastatic gastric liposarcoma reported by Seki, H. et al. in 1983. The method of topical injection of pure ethanol was successfully used in a case of gastric he-mangioma, two cases of metastatic malignant lymphoma to the stomach and fifteen gastric cancer. We think this method useful whenever urgent hemostasis is necessary irre-cases of spective of whether the lesions are malignant or not.
