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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2005 August;18(4):153-6
Clinical and endoscopic features of metastatic tumors to the stomach
De Palma G. D., Rega M., Patrone F., Ciamarra P., Persico M., Noceroni L., Simeoli I., Pilone V., Di Marino M., Persico G.
Aim. The stomach is an unusual site for metastasis. Information on gastric metastases is generally limited to single case reports. In the current study we evaluated the clinical and endoscopic patterns in a large series of patients with metastatic tumors in the stomach.
Methods. A total of 64 patients with gastric metastases from solid malignant tumors were retrospectively examined between 1990 and 2003. The clinicopathological findings were reviewed along with tumor characteristics such as endoscopic pattern, locations, size and origin of the primary sites.
Results. Common indications for endoscopy were anemia, bleeding and epigastric pain. Metastases presented as solitary (62.5%) or multiple (37.5%) and were mainly located in the middle or upper third of stomach. Breast and lung and cancer and malignant melanoma were the main primary sites.
Conclusion. As the prognosis for cancer patients has been improving gradually, gastrointestinal metastases will be encountered more often. Endoscopic examinations should be conducted carefully in patients with malignancies, and endoscopic biopsies and information on the patient¹s clinical history is useful for correct diagnosis of gastric metastases.