title: Gastric Metastasis from Ovarian Adenocarcinoma Presenting as a Submucosal Tumor without Ulceration.
abstract: Metastatic gastric cancer is extremely rare and gastric metastasis from ovarian adenocarcinoma has rarely been reported. All of the previously reported metastatic lesions presented as an ulcerative lesions. We report a case of 49-year-old woman in which gastric metastasis from ovarian adenocarcinoma presented as a submucosal tumor without ulceration on endoscopic examination. Gastrointestinal stromal tumor was suspected on endoscopic ultrasound (EUS) examination. It was confirmed histopathologically as metastatic ovarian adenocarcinoma after endoscopic submucosal dissection (ESD) with enucleation. Submucosal tumor of the stomach in patients with ovarian carcinoma should not be overlooked and ESD with enucleation may be a viable option when EUS with fine needle aspiration is not available.
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Korea.
authors.forename: Hyun-Jung
authors.initials: HJ
authors.lastname: Jung
authors.forename: Hae-Yon
authors.initials: HY
authors.lastname: Lee
authors.forename: Byung-Wook
authors.initials: BW
authors.lastname: Kim
authors.forename: Seung-Min
authors.initials: SM
authors.lastname: Jung
authors.forename: Hyung-Gil
authors.initials: HG
authors.lastname: Kim
authors.forename: Jeong-Seon
authors.initials: JS
authors.lastname: Ji
authors.forename: Hwang
authors.initials: H
authors.lastname: Choi
authors.forename: Bo-In
authors.initials: BI
authors.lastname: Lee