A very rare case of neuroendocrine carcinoma of stomach

We report an extremely rare case of neuroendocrine carcinoma (NEC) of the stomach, which is known for its aggressive behavior and poor prognosis. To the best of our knowledge, only a few cases have been reported in the world till date and our case may be one of the very few of this rare pathology. A...

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Main Authors: Abhishek Purkayastha, Neelam Sharma, Virender Suhag, Vibha Dutta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:CHRISMED Journal of Health and Research
Subjects:
Online Access:http://www.cjhr.org/article.asp?issn=2348-3334;year=2016;volume=3;issue=3;spage=236;epage=239;aulast=Purkayastha
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author Abhishek Purkayastha
Neelam Sharma
Virender Suhag
Vibha Dutta
author_facet Abhishek Purkayastha
Neelam Sharma
Virender Suhag
Vibha Dutta
author_sort Abhishek Purkayastha
collection DOAJ
description We report an extremely rare case of neuroendocrine carcinoma (NEC) of the stomach, which is known for its aggressive behavior and poor prognosis. To the best of our knowledge, only a few cases have been reported in the world till date and our case may be one of the very few of this rare pathology. A 42-year-old male presented with vague abdominal pain and significant weight loss. Upper gastrointestinal endoscopy revealed ulceroproliferative growth in the pylorus. Computed tomography of the abdomen showed thickening of the pylorus with locoregional lymphadenopathy. Positron emission tomography scan showed localized disease. A distal gastrectomy with D1 dissection was performed. Postoperative histopathology revealed high grade NEC of the stomach with cytokeratin-20, epithelial membrane antigen, chromogranin, and CDX-2 positivity on immunohistochemistry. He was treated with adjuvant chemotherapy followed by locoregional radiotherapy with significant response to treatment. Presently on regular follow-up without any evidence of recurrence or distant metastasis.
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spelling doaj.art-cbbb1a703db144829a9cf1c3135ed34d2022-12-21T18:23:13ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2016-01-013323623910.4103/2348-3334.183759A very rare case of neuroendocrine carcinoma of stomachAbhishek PurkayasthaNeelam SharmaVirender SuhagVibha DuttaWe report an extremely rare case of neuroendocrine carcinoma (NEC) of the stomach, which is known for its aggressive behavior and poor prognosis. To the best of our knowledge, only a few cases have been reported in the world till date and our case may be one of the very few of this rare pathology. A 42-year-old male presented with vague abdominal pain and significant weight loss. Upper gastrointestinal endoscopy revealed ulceroproliferative growth in the pylorus. Computed tomography of the abdomen showed thickening of the pylorus with locoregional lymphadenopathy. Positron emission tomography scan showed localized disease. A distal gastrectomy with D1 dissection was performed. Postoperative histopathology revealed high grade NEC of the stomach with cytokeratin-20, epithelial membrane antigen, chromogranin, and CDX-2 positivity on immunohistochemistry. He was treated with adjuvant chemotherapy followed by locoregional radiotherapy with significant response to treatment. Presently on regular follow-up without any evidence of recurrence or distant metastasis.http://www.cjhr.org/article.asp?issn=2348-3334;year=2016;volume=3;issue=3;spage=236;epage=239;aulast=PurkayasthaGastric neuroendocrine neoplasmsneuroendocrine carcinomaradiotherapystomach
spellingShingle Abhishek Purkayastha
Neelam Sharma
Virender Suhag
Vibha Dutta
A very rare case of neuroendocrine carcinoma of stomach
CHRISMED Journal of Health and Research
Gastric neuroendocrine neoplasms
neuroendocrine carcinoma
radiotherapy
stomach
title A very rare case of neuroendocrine carcinoma of stomach
title_full A very rare case of neuroendocrine carcinoma of stomach
title_fullStr A very rare case of neuroendocrine carcinoma of stomach
title_full_unstemmed A very rare case of neuroendocrine carcinoma of stomach
title_short A very rare case of neuroendocrine carcinoma of stomach
title_sort very rare case of neuroendocrine carcinoma of stomach
topic Gastric neuroendocrine neoplasms
neuroendocrine carcinoma
radiotherapy
stomach
url http://www.cjhr.org/article.asp?issn=2348-3334;year=2016;volume=3;issue=3;spage=236;epage=239;aulast=Purkayastha
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