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Cancer Res Treat. 2014 Oct;46(4):415-8. doi: 10.4143/crt.2013.068. Epub 2014 Jul 18.

Pleural Metastasis as Initial Presentation of Occult Gastric Cardia Cancer: A Possible Role of PET-CT in Diagnosis.

Author information

  • 1Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
  • 2Department of Pathology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
  • 3Department of Nuclear Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Abstract

We report on a case of malignant pleural effusion as initial metastatic presentation of occult gastric cardia cancer in a young woman. To the best of our knowledge, this is the first report of gastric adenocarcinoma metastasized to pleura as an initial presentation. Location of cardia and signet ring cell histology may contribute to the manifestation. Utilization of positron emission tomography-computed tomography was helpful for proper diagnosis. For patients with such distinct clinical presentations, it would be appropriate to consider gastric cancer as one of the possible primary sites.

KEYWORDS:

Cardia; Computed tomography; Pleura; Positron-emission tomography; Signet ring cell carcinoma

PMID:
25036578
[PubMed]
PMCID:
PMC4206069
Free PMC Article
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