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Journal of Gastrointestinal Cancer

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01.03.2013 | Original Research

Retroperitoneal Fibrosis as a Result of Signet Ring Cell Gastric Cancer: a Case-Based Review

verfasst von: Ashraf Karbasi, Reza Karbasi-Afshar, Javad Ahmadi, Amin Saburi

Erschienen in: Journal of Gastrointestinal Cancer | Ausgabe 1/2013

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Abstract

Background

Retroperitoneal fibrosis is a rare and obvious condition in the abdominopelvic cavity. Signet ring cell carcinoma of the stomach with gross appearance of linitis plastica is another rare association.

Case presentation

We present a rare case of a 49-year-old woman presenting with persistent nausea and vomiting for 20 days. Three months ago, she was admitted with severe flank pain and was referred to the urology service. She was placed with stents for strictures in both ureters. She underwent endoscopy for heartburn, melena, dyspepsia, and weight loss (7 kg/5 month), which revealed congestion of the mucosa of the fundus and body with fine linear erosion and decreased distensibility of the stomach suggesting linitis plastica. A biopsy indicated full-thickness infiltration by signet ring cell gastric cancer. A CT scan showed evidence of retroperitoneal fibrosis with large lymph nodes around the aorta.

Conclusion

This paper shows that the gastric linitis plastica can present with many deceptive clinical presentations, raising the risk of postponed diagnosis.

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Titel: Retroperitoneal Fibrosis as a Result of Signet Ring Cell Gastric Cancer: a Case-Based Review
verfasst von: Ashraf Karbasi
Reza Karbasi-Afshar
Javad Ahmadi
Amin Saburi
Publikationsdatum: 01.03.2013
Verlag: Springer US
Erschienen in: Journal of Gastrointestinal Cancer / Ausgabe 1/2013
Print ISSN: 1941-6628
Elektronische ISSN: 1941-6636
DOI: https://doi.org/10.1007/s12029-012-9422-1

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Retroperitoneal Fibrosis as a Result of Signet Ring Cell Gastric Cancer: a Case-Based Review

Abstract

Background

Case presentation

Conclusion

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