Keywords
Gastric cancer; Signet ring cell carcinoma; Metastasis, primary
Abstract
Gastric cancer (GC) is one of the most common cancers by incidence and number of deaths. Gastric cancer is more prevalent in males with the strongest risk factor being Helicobacter pylori infection. Signet ring cell adenocarcinoma (SRCA) is a subtype of GC associated with a worse prognosis due to late presentation. SRCA is more likely to be metastatic at presentation compared with other subtypes of GC. We present a case of metastatic gastric SRCA presenting as a colonic mass with associated ascites and pleural effusion. This case highlights the importance of including metastatic gastric SRCA in the differential diagnosis in patients presenting with gastric and colonic dual SRCA. It is vital to determine if it is a metastatic tumor or two primaries as this would change staging and treatment protocols.
Citation
Gala D, Pallante LA, Sharma A, Qureshi S, Barnard B, et al. (2021) Metastatic Gastric Signet Ring Cell Adenocarcinoma Presenting as a Colonic Mass: Case Report of Uncommon Presentation and Review of the Literature. SM J Gastroenterol Hepatol 5: 4.