Beneath the Surface: Diagnosing Gastric Linitis Plastica.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Anurag Marasini, Thilini Delungahawatta, Bryan Szeto, Robert Jones, Christopher J Haas
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引用次数: 0

Abstract

Gastric Linitis plastica is characterized by extensive infiltration of gastric wall by poorly differentiated tumor cells, creating a "leather-bottle stomach" appearance. We describe a case involving a 71-year-old male presenting with globus sensation, early satiety and weight loss. Recent EGD had revealed chronic gastritis with polypoid mucosa at the GE junction, and subsequent FDG-PET indicated asymmetric FDG localization. On admission, repeat EGD with deep biopsies confirmed invasive poorly differentiated gastric adenocarcinoma with signet ring features. Despite palliative radiation, the patient died within a month, highlighting the disease's aggressiveness and importance of advanced diagnostic techniques in suspected cases of Linitis plastica.

表面之下:诊断胃局限性炎。
胃可塑性局限性炎的特点是低分化肿瘤细胞广泛浸润胃壁,形成“皮瓶胃”外观。我们描述一个病例涉及71岁的男性表现为球感,早期饱腹感和体重下降。最近的EGD显示慢性胃炎伴息肉样粘膜在GE交界处,随后的FDG- pet显示不对称FDG定位。入院时复查EGD伴深部活检证实浸润性低分化胃腺癌伴印戒征。尽管进行了姑息性放疗,但患者在一个月内死亡,这突出了该疾病的侵袭性和先进诊断技术在疑似塑性局限性炎病例中的重要性。
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来源期刊
自引率
0.00%
发文量
106
审稿时长
17 weeks
期刊介绍: JCHIMP provides: up-to-date information in the field of Internal Medicine to community hospital medical professionals a platform for clinical faculty, residents, and medical students to publish research relevant to community hospital programs. Manuscripts that explore aspects of medicine at community hospitals welcome, including but not limited to: the best practices of community academic programs community hospital-based research opinion and insight from community hospital leadership and faculty the scholarly work of residents and medical students affiliated with community hospitals.
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