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conferenceseries
.com
Volume 09
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Gastro Congress 2019
July 08-09, 2019
July 08-09, 2019 | Zurich, Switzerland
14
th
Euro-Global Gastroenterology Conference
A gut feeling: Case report of gastric linitis adenocarcinoma in a 35 year old male
Miguel Lorenzo G Faustino
and
Oliver V Cruz
World Citi Medical Center, Philippines
G
astric cancer is rare before the age 40. Establishing a diagnosis in this subset of younger patients is challenging
because initial symptoms are nonspecific.This case report aims to present a case of diffuse gastric adenocarcinoma
in a young patient with the intent of raising awareness on its subtle presentation whose clinical diagnosis is anchored
on an astute physician’s high index of suspicion. We report the case of a 35 year old, Filipino male, with no known
comorbidities and no family history of malignancy, who complained of early satiety and bothersome postprandial
fullness 7 months in evolution. Repeated endoscopic evaluation and CT imaging revealed linitis plastica with a rigid
and thickened gastric mucosa. Multiple biopsies taken only showed increased lymphoplasmacytic infiltrates with
no evidence of dysplasia, metaplasia or atrophy. In this experience, subtle presentation, inconclusive results of the
diagnostic investigation and the aggressive biology of the disease underscores the importance of the physician’s high
index of suspicion in diagnosing gastric cancer in this subset of patients. Establishing a diagnosis early is crucial so
that key interventions may be offered and prolong our patient’s life.
miguellorenzofaustino@gmail.comJ Gastrointest Dig Syst 2019, Volume 09