title: [A resected case of gastric regional lymph node metastasis from ascending colon cancer].
abstract: A 67-year-old man underwent right hemi-colectomy for ascending colon cancer in 2007. One year later, he was diagnosed as early gastric cancer, and endoscopic submucosal dissection was performed. Pathologically, cancer cells were detected on the vertical margin, so we conducted distal gastrectomy. A dissected lymph node around the hepatic artery was histologically proved to contain adenocarcinoma cells. The cancer cells were positive for CK20. Colon cancer cells were also positive for CK20 but gastric cancer cells were focally positive for CK20. This pattern of CK staining suggested the ascending colon cancer metastasized to a gastric regional lymph node.
authors.affiliation: Dept. of Surgery, and Kumamoto Municipal Hospital, Japan.
authors.forename: Shunji
authors.initials: S
authors.lastname: Suzuki
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Shigaki
authors.forename: Sachio
authors.initials: S
authors.lastname: Yokoyama
authors.forename: Hiroya
authors.initials: H
authors.lastname: Yamashita
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sugita
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Arima
mesh_terms: D000368:Aged; D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use; D000069287:Capecitabine; D044682:Colon, Ascending / Q000473:pathology*; D003110:Colonic Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D003131:Combined Modality Therapy; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D005472:Fluorouracil / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D009367:Neoplasm Staging; D012074:Remission Induction; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*
chemical_list: D000964:Antimetabolites, Antineoplastic; D003841:Deoxycytidine; D000069287:Capecitabine; D005472:Fluorouracil