Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report
Small cell carcinomas are the most aggressive, highly malignant neuroendocrine tumors; among these, gastric small cell carcinoma (GSCC) is extremely rare. Here we report a case of a patient with primary GSCC, presenting as linitis plastic, who was diagnosed using endoscopic ultrasound (EUS)-guided b...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2019-05-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2018-114.pdf |
| _version_ | 1827802690913042432 |
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| author | Ra Ri Cha Jin Kyu Cho Wan Soo Kim Jin Joo Kim Jae Min Lee Sang Soo Lee Hyun Jin Kim |
| author_facet | Ra Ri Cha Jin Kyu Cho Wan Soo Kim Jin Joo Kim Jae Min Lee Sang Soo Lee Hyun Jin Kim |
| author_sort | Ra Ri Cha |
| collection | DOAJ |
| description | Small cell carcinomas are the most aggressive, highly malignant neuroendocrine tumors; among these, gastric small cell carcinoma (GSCC) is extremely rare. Here we report a case of a patient with primary GSCC, presenting as linitis plastic, who was diagnosed using endoscopic ultrasound (EUS)-guided biopsy. With undiagnosed linitis plastica, an 80-year-old woman was referred to our institution. Abdominal computed tomography revealed irregular wall thickening extending from the gastric body to the antrum. Endoscopy suspected to have Borrmann type IV advanced gastric cancer. EUS of the stomach showed diffuse submucosal thickening of the gastric wall, mainly the antrum. EUS-guided bite-on-bite biopsy confirmed the diagnosis of GSCC. In general, GSCC is difficult to diagnose and careful examination is necessary to determine the therapeutic strategy; however, EUS is particularly helpful in the differential diagnosis of a lesion presenting as linitis plastica. |
| first_indexed | 2024-03-11T20:43:41Z |
| format | Article |
| id | doaj.art-a9bca8c2bf9f4eb4bca66bef41caee68 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:43:41Z |
| publishDate | 2019-05-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-a9bca8c2bf9f4eb4bca66bef41caee682023-10-02T00:24:29ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432019-05-0152327828210.5946/ce.2018.1147157Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case ReportRa Ri Cha0Jin Kyu Cho1Wan Soo Kim2Jin Joo Kim3Jae Min Lee4Sang Soo Lee5Hyun Jin Kim6 Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, KoreaSmall cell carcinomas are the most aggressive, highly malignant neuroendocrine tumors; among these, gastric small cell carcinoma (GSCC) is extremely rare. Here we report a case of a patient with primary GSCC, presenting as linitis plastic, who was diagnosed using endoscopic ultrasound (EUS)-guided biopsy. With undiagnosed linitis plastica, an 80-year-old woman was referred to our institution. Abdominal computed tomography revealed irregular wall thickening extending from the gastric body to the antrum. Endoscopy suspected to have Borrmann type IV advanced gastric cancer. EUS of the stomach showed diffuse submucosal thickening of the gastric wall, mainly the antrum. EUS-guided bite-on-bite biopsy confirmed the diagnosis of GSCC. In general, GSCC is difficult to diagnose and careful examination is necessary to determine the therapeutic strategy; however, EUS is particularly helpful in the differential diagnosis of a lesion presenting as linitis plastica.http://www.e-ce.org/upload/pdf/ce-2018-114.pdfExtrapulmonary small cell carcinomaEndosonographyLinitis plastica |
| spellingShingle | Ra Ri Cha Jin Kyu Cho Wan Soo Kim Jin Joo Kim Jae Min Lee Sang Soo Lee Hyun Jin Kim Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report Clinical Endoscopy Extrapulmonary small cell carcinoma Endosonography Linitis plastica |
| title | Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report |
| title_full | Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report |
| title_fullStr | Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report |
| title_full_unstemmed | Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report |
| title_short | Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report |
| title_sort | primary gastric small cell carcinoma presenting as linitis plastica diagnosed using endoscopic ultrasound guided biopsy a case report |
| topic | Extrapulmonary small cell carcinoma Endosonography Linitis plastica |
| url | http://www.e-ce.org/upload/pdf/ce-2018-114.pdf |
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