Journal of Gastrointestinal Cancer

, Volume 50, Issue 1, pp 127–129 | Cite as

Colon Metastasis, 8 years after Gastrectomy, for Stage I Gastric Cancer

  • Mohamed Amine ElghaliEmail author
  • Houssem Fadhl
  • Fehmi Hamila
  • Sarra Mestiri
  • Mohamed Salah Jarrar
  • Rached Letaief
Case Report


Gastric cancers and particularly signet ring cell carcinoma are aggressive tumors and have poor prognosis. The recurrence rate after curative treatment of gastric cancer varies between 40 and 65% in 5 years [1]. These recurrences mainly concern stage II cancers or higher and occur in 70% of cases in the first 2 years; beyond 5 years, they are of the order of 6% [2]. Metastases in the gastrointestinal tract are rare with a rate of 2.3% in a Japanese study [3]. We report a case of stager I gastric signet ring cell carcinoma which recurred 8 years later at an unusual site which is the colon.

Case Presentation

A 62-year-old man underwent surgery at the age of 54 for a tumor of the gastric antrum. He had a partial gastrectomy with a D1 flushing. Pathological examonation revealed a signet ring cell carcinoma of the gastric antrum invading the muscularis propria. The limitations of duodenal and gastric resections were not invaded; none of the 18 removed lymph nodes were positive....



The authors declare that there are no specific acknowledgements

Compliance with Ethical Standards

Conflict of Interest

The authors certify that there are funds or conflicts of interest concerning this manuscript.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Mohamed Amine Elghali
    • 1
    • 2
    Email author
  • Houssem Fadhl
    • 1
    • 2
  • Fehmi Hamila
    • 1
    • 2
  • Sarra Mestiri
    • 3
  • Mohamed Salah Jarrar
    • 4
  • Rached Letaief
    • 1
    • 2
  1. 1.Department of General SurgeryFarhat Hached University HospitalSousseTunisia
  2. 2.University of MedicineSousseTunisia
  3. 3.Department of AnatomopathologieFarhat Hached University HospitalSousseTunisia
  4. 4.Department of AnatomyUniversity of Medicine IBN ELJAZARSousseTunisia

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