Clinical case: diagnosis of gastric cancer in a young patient
DOI: https://dx.doi.org/10.18565/therapy.2021.5.136-140
Druk I.V., Pavlov A.V., Kosenok V.K., Fadeeva E.A., Pavlov A.A., Lyalyukov A.V., Drokina O.V.
1) Omsk State Medical University of the Ministry of Healthcare of Russia;
2) Regional Clinical Hospital, Omsk;
3) Sochi State University
Abstract. Poorly cohesive gastric carcinoma (signet ring cell carcinoma according to WHO classification, diffuse type of gastric cancer according to Lauren 1965 classification) is a type of cancer, consisting of cells that produce mucin, which displaces the nucleus to the periphery, which makes the cells look like a ring. One of the main causes of development is a mutation of the gene encoding the protein molecule E-cadherin (CDH1), which is responsible for intercellular connections and differentiation of epithelial cells. This case-report demonstrates the patient with signet ring cell carcinoma of the stomach and a discussion of the features of this type of cancer and diagnosis.
Literature
- Siegel R.L., Miller K.D., Jemal A. Cancer statistics, 2019. CA Cancer J Clin. 2019; 69(1): 7–34. doi: 10.3322/caac.21551.
- Злокачественные новообразования в России в 2019 году (заболеваемость и смертность). Под ред. А.Д. Каприна, В.В. Старинского, А.О. Шахзадовой. М.: МНИОИ им. П.А. Герцена − филиал ФГБУ «НМИЦ радиологии» Минздрава России. 2020; 252 с.; ил. [Malignant neoplasms in Russia in 2019 (morbidity and mortality). Ed. by Kaprin A.D., Starinsky V.V., Shakhzadova A.O. Moscow: MNIOI im. P.A. Gertsena – filial FGBU «NMITS radiologii» Minzdrava Rossii = P.A. Herzen Moscow Research Oncological Institute – branch of National Medical Research Center for Radiology of the Ministry of Healthcare of Russia. 2020; 252 p. (In Russ.)]. ISBN: 978-5-85502-260-5.
- Bamboat Z.M., Tang L.H., Vinuela E. et al. Stage-stratified prognosis of signet ring cell histology in patients undergoing curative resection for gastric adenocarcinoma. Ann Surg Oncol. 2014; 21(5): 1678–85. doi: 10.1245/s10434-013-3466-8.
- Henson D.E., Dittus C., Younes M. et al. Differential trends in the intestinal and diffuse types of gastric carcinoma in the United States, 1973–2000: increase in the signet ring cell type. Arch Pathol Lab Med. 2004; 128(7): 765–70. doi: 10.1043/1543-2165(2004)128<765:DTITIA>2.0.CO;2.
- van der Post R.S., Vogelaar I.P., Carneiro F. et al. Hereditary diffuse gastric cancer: updated clinical guidelines with an emphasis on germline CDH1 mutation carriers. J Med Genet. 2015; 52(6): 361–74. doi: 10.1136/jmedgenet-2015-103094.
- Pernot S., Voron T., Perkins G. et al. Signet-ring cell carcinoma of the stomach: Impact on prognosis and specific therapeutic challenge. World J Gastroenterol. 2015; 21(40): 11428–38. doi: 10.3748/wjg.v21.i40.11428.
- Pimentel-Nunes P., Libanio D., Marcos-Pinto R. et al. Management of epithelial precancerous conditions and lesions in the stomach (MAPS II): European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter and Microbiota Study Group (EHMSG), European Society of Pathology (ESP), and Sociedade Portuguesa de Endoscopia Digestiva (SPED) guideline update 2019. Endoscopy. 2019; 51(4): 365–88. doi: 10.1055/a-0859-1883.
- Drossman D.A. Functional gastrointestinal disorders: History, pathophysiology, clinical features and Rome IV. Gastroenterology. 2016 Feb 19:S0016-5085(16)00223-7. doi: 10.1053/j.gastro.2016.02.032.
About the Autors
Inna V. Druk, MD, head of the Department of internal medicine and family medicine of continuing professional education, Omsk State Medical University of the Ministry of Healthcare of Russia. Address: 644033, Omsk, 127/1 Krasny put` Str. Tel.: +7 (913) 964-15-55. E-mail: drukinna@yandex.ru
Alexey V. Pavlov, head of pathological Department of Regional Clinical Hospital. Address: 644111, Omsk, 3 Beryozovaya Str. Tel.: +7 (913) 618-41-77. E-mail: apavlov@freemail.ru
Viktor K. Kosenok, MD, head of the Department of oncology, radiation therapy of continuing professional education, Omsk State Medical University of the Ministry of Healthcare of Russia. Address: 644013, Omsk, 9/1 Zavertyaeva Str. Tel.: +7 (913) 624-74-17. E-mail: victorkosenok@gmail.com
Elena A. Fadeeva, 4th year student of the Faculty of medicine, Omsk State Medical University of the Ministry of Healthcare of Russia. Address: 644099, Omsk, 12 Lenina Str. Tel.: +7 (913) 158-98-08. E-mail: angela19991111@gmail.com
Alexey A. Pavlov, 3rd year student of the Faculty of medicine, Omsk State Medical University of the Ministry of Healthcare of Russia. Address: 644099, Omsk, 12 Lenina Str. Tel.: +7 (913) 646-82-84. E-mail: alexey_pavlov122628@mail.ru
Alexander V. Lyalyukov, lecturer at Sochi State University. Address: 354000, Sochi, 94 Plastunskaya Str. Tel.: +7 (950) 788-46-42. E-mail: losangeles116@gmail.com
Olga V. Drokina, PhD, associate professor of the Department of propedeutics of internal medicine, Omsk State Medical University of the Ministry of Healthcare of Russia. Address: 644112, Omsk, 7 Pereleta Str. Tel.: +7 (913) 975-67-15. E-mail: amans@bk.ru
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