Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report

BackgroundAlmost all early gastric signet ring cell carcinomas (SRCCs) are the flat or depressed type, and the elevated type is rare. Here, we report the endoscopic and pathohistologic features of a rare case of SRCCs presented as the elevated type.Case presentationA 54-year-old man underwent esopha...

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Main Authors: Lianjun Di, Xinglong Wu, Biguang Tuo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.1015989/full
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author Lianjun Di
Xinglong Wu
Biguang Tuo
author_facet Lianjun Di
Xinglong Wu
Biguang Tuo
author_sort Lianjun Di
collection DOAJ
description BackgroundAlmost all early gastric signet ring cell carcinomas (SRCCs) are the flat or depressed type, and the elevated type is rare. Here, we report the endoscopic and pathohistologic features of a rare case of SRCCs presented as the elevated type.Case presentationA 54-year-old man underwent esophagogastroduodenoscopy in our hospital because of intermittent upper abdominal pain for 6 years. White light endoscopy revealed an elevated lesion that is smooth and reddish and covered with normal mucosa and looked like a polyp. Magnifying endoscopy with narrow-band imaging showed broadened intervening parts, an elongated pit, and a dense microvascular network with focal irregularity. The lesion was considered as early gastric cancer and completely resected with endoscopic submucosal dissection. Pathohistological examination confirmed that the lesion was pure early SRCC that was limited within the mucosal lamina propria (T1a).ConclusionElevated pure gastric SRCC is rare. This is a report of early pure gastric SRCC presented as the elevated type and the description of its endoscopic and pathohistologic features, which will contribute to the early detection of gastric SRCC.
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spelling doaj.art-2234e6d0a9714d9db14f57afad888be92022-12-22T04:21:43ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-12-011210.3389/fonc.2022.10159891015989Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case reportLianjun Di0Xinglong Wu1Biguang Tuo2Department of Gastroenterology, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Gastroenterology, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaBackgroundAlmost all early gastric signet ring cell carcinomas (SRCCs) are the flat or depressed type, and the elevated type is rare. Here, we report the endoscopic and pathohistologic features of a rare case of SRCCs presented as the elevated type.Case presentationA 54-year-old man underwent esophagogastroduodenoscopy in our hospital because of intermittent upper abdominal pain for 6 years. White light endoscopy revealed an elevated lesion that is smooth and reddish and covered with normal mucosa and looked like a polyp. Magnifying endoscopy with narrow-band imaging showed broadened intervening parts, an elongated pit, and a dense microvascular network with focal irregularity. The lesion was considered as early gastric cancer and completely resected with endoscopic submucosal dissection. Pathohistological examination confirmed that the lesion was pure early SRCC that was limited within the mucosal lamina propria (T1a).ConclusionElevated pure gastric SRCC is rare. This is a report of early pure gastric SRCC presented as the elevated type and the description of its endoscopic and pathohistologic features, which will contribute to the early detection of gastric SRCC.https://www.frontiersin.org/articles/10.3389/fonc.2022.1015989/fullcase reportearly diagnosisendoscopic featuregastric cancersignet ring cell carcinoma
spellingShingle Lianjun Di
Xinglong Wu
Biguang Tuo
Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report
Frontiers in Oncology
case report
early diagnosis
endoscopic feature
gastric cancer
signet ring cell carcinoma
title Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report
title_full Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report
title_fullStr Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report
title_full_unstemmed Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report
title_short Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report
title_sort endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type a case report
topic case report
early diagnosis
endoscopic feature
gastric cancer
signet ring cell carcinoma
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1015989/full
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AT biguangtuo endoscopicandpathohistologicfeaturesofearlygastricsignetringcellcarcinomapresentedaselevatedtypeacasereport