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http://dx.doi.org/10.3904/kjm.2014.86.2.204

A Case of Pericolonic Metastasis in Recurrent Signet-Ring-Cell Adenocarcinoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration Using a Forward-Viewing Echoendoscope  

Nam, Kwang Woo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Moon, Min Young (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Jin Seo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Won, Sung Hyun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Sang Soo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Seo, Dong Wan (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Park, Do Hyun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
The Korean Journal of Medicine / v.86, no.2, 2014 , pp. 204-207 More about this Journal
Abstract
Endoscopic ultrasound-guided fine-needle aspiration is used for the diagnosis and evaluation of rectal and pelvic lesions in lower gastrointestinal tract disease. However, it is not used widely in proximal and transverse colon disease because of the limited visual field and technical problems related to an oblique-viewing echoendoscope. Here, we report a case of recurrent signet-ring-cell gastric adenocarcinoma involving the transverse colon not diagnosed by repeated colonoscopic biopsies that was eventually diagnosed using a forward-viewing echoendoscope with fine-needle aspiration biopsy.
Keywords
Signet ring cell carcinoma; Endoscopic ultrasound; Fine-needle aspiration; Core-needle biopsy;
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