[Coexistence of multifocal gastric adenocarcinoma with signet-ring cell morphology and a gastrointestinal stromal tumour in a stomach with hp-associated gastritis].

Abstract

A 79-year-old man was admitted because of anemia during marcumar therapy with suspected bleeding in the gastrointestinal tract. Endoscopy revealed a large mutifocal poorly differentiated gastric signet ring cell adenocarcinoma. After staging by the usual oesophagogastroduodenoscopic method, a total D 2 gastrectomy was performed. In the pathological resection specimen of the stomach, a multifocal poorly differentiated signet ring cell adenocarcinoma, infiltrating the submucosa (so called early cancer of sm-type) and an incidental gastroinstinal stromal tumour, 0.8 cm in diameter, was diagnosed. This is the first case report of the synchronous occurrence of a multifocal poorly differentiated gastric adenocarcinoma with signet-ring cell morphology (diffuse type according to the Lauren classification) and a GIST incidentally within a stomach with Hp-associated gastritis.

• Authors: Y Vogel, C Müller, W Uhl, A Tannapfel
• Journal: Zeitschrift fur Gastroenterologie (Z Gastroenterol) Vol. 49 Issue 2 Pg. 201-6 (Feb 2011) ISSN: 1439-7803 [Electronic] Germany
• Vernacular Title: Multifokales Siegelringzell-Adenokarzinom des Magens mit inzidentellem gastrointestinalem Stromatumor in einer Typ-B-Gastritis.
• PMID: 21298606 (Publication Type: Case Reports, English Abstract, Journal Article)
• Copyright: © Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Adenocarcinoma (complications, pathology)
• Aged
• Gastritis (complications, pathology)
• Gastrointestinal Stromal Tumors (complications, pathology)
• Helicobacter Infections (complications, pathology)
• Humans
• Incidental Findings
• Male
• Neoplasms, Multiple Primary (complications, pathology)
• Stomach Neoplasms (complications, pathology)