A type of neoplasia deadlier than gastric adenocarcinoma? Report of a case of primary gastric squamous cell carcinoma
Autor: | Natasha Hasemaki, Helen Sarlanis, Evangelos Felekouras, Alexandros Papalampros, Eustratia Mpaili, Michail Vailas, Maria Sotiropoulou, Athanasios Syllaios |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Lung Neoplasms Time Factors medicine.medical_treatment lcsh:Surgery Case Report Metastases Malignancy lcsh:RC254-282 Gastroenterology Metastasis Squamous 03 medical and health sciences 0302 clinical medicine Surgical oncology Gastrectomy Stomach Neoplasms Internal medicine Gastric Carcinoma medicine Humans Postoperative Period Stage (cooking) Aged business.industry Stomach Incidence (epidemiology) lcsh:RD1-811 lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease medicine.anatomical_structure Oncology Chemotherapy Adjuvant 030220 oncology & carcinogenesis Carcinoma Squamous Cell Lymph Node Excision 030211 gastroenterology & hepatology Surgery Lymph Nodes business Tomography X-Ray Computed Primary |
Zdroj: | World Journal of Surgical Oncology World Journal of Surgical Oncology, Vol 17, Iss 1, Pp 1-6 (2019) |
ISSN: | 1477-7819 |
Popis: | Background Primary gastric squamous cell carcinoma is an extremely rare malignancy with few case reports reported so far in the current medical literature. Its incidence varies between 0.04 and 0.07% of all gastric malignancies with a male predominance in the sixth decade of life. It has been found that this type of malignancy has a more aggressive behavior and associated poorer prognosis, when compared to gastric adenocarcinoma. Thus, the most appropriate management of this kind of neoplasia is still debatable due to the small number of reported cases. Case presentation We report the case of a 66-year-old man who underwent total gastrectomy with D2 lymphadenectomy for an ulcerative lesion in the fundus of the stomach that turned out to be primary gastric squamous cell carcinoma. Conclusions Upon confirmation of this specific malignancy, the affected patients should be enrolled in strict follow-up protocols after curative surgery, since the risk for metastasis is high. Physicians should maintain high clinical suspicion in order to diagnose these tumors at an early stage, along with the need to rule out any other possible primary sites of squamous malignancy. |
Databáze: | OpenAIRE |
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