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Cardoso VS, Costa FC, Santos CM, Guerreiro JM, Ramos SF. Primary gastric squamous cell carcinoma: case report. J Surg Case Rep 2024; 2024:rjad736. [PMID: 38239378 PMCID: PMC10795900 DOI: 10.1093/jscr/rjad736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 12/23/2023] [Indexed: 01/22/2024] Open
Abstract
Primary gastric squamous cell carcinoma is an extremely rare entity with an unknown etiopathology, and prognosis is generally poor. While diagnostic criteria are standardized, the optimal treatment strategy is not defined due to its rarity. In this article, we present a case of primary gastric squamous cell carcinoma, discussing its approach and treatment.
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Affiliation(s)
- Vasco S Cardoso
- General Surgery Department – Centro Hospitalar Lisboa Ocidental, São Francisco Xavier’s Hospital, 1449-005 Lisboa, Portugal
| | - Filipa C Costa
- General Surgery Department – Centro Hospitalar Lisboa Ocidental, São Francisco Xavier’s Hospital, 1449-005 Lisboa, Portugal
| | - Cristina M Santos
- General Surgery Department – Centro Hospitalar Lisboa Ocidental, São Francisco Xavier’s Hospital, 1449-005 Lisboa, Portugal
| | - José M Guerreiro
- General Surgery Department – Centro Hospitalar Lisboa Ocidental, São Francisco Xavier’s Hospital, 1449-005 Lisboa, Portugal
| | - Sância F Ramos
- Anatomopathological Department – Centro Hospitalar Lisboa Ocidental, São Francisco Xavier’s Hospital, 1449-005 Lisboa, Portugal
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Jakubik J, Majos A, Jesionek-Kupnicka D, Wrona E, Kaufman-Szymczyk A, Lubecka-Gajewska K, Jakubik J. An unusual non‑metastatic, mismatch repair‑deficient primary gastric squamous cell carcinoma presenting as a large, exophytic, bleeding tumor: A case report. Oncol Lett 2023; 25:82. [PMID: 36760516 PMCID: PMC9878355 DOI: 10.3892/ol.2023.13668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 12/20/2022] [Indexed: 01/18/2023] Open
Abstract
Primary gastric squamous cell carcinoma (GSCC) is an extremely rare malignancy with a poor prognosis. Despite the improved knowledge regarding its pathogenesis and biology, the treatment options remain limited. The present study reported on the unique case of a mismatch repair-deficient (dMMR) primary GSCC in a 79-year-old woman reporting fatigue and symptoms of upper gastrointestinal tract bleeding. Physical examination revealed abdominal pain at palpation. Gastroscopy revealed a large, exophytic, bleeding tumor. Medical imaging confirmed a mushroom-like polyp in the lumen of the stomach, with no signs of disease spread. Total gastrectomy and D2 lymphadenectomy were performed. Pathological examination of the post-operational material confirmed a well-differentiated SCC invading the mucosa, submucosa and muscle layer. There were no signs of dissemination observed in any of the 32 excised lymph nodes. Notably, according to the last follow-up, the patient remains well, supporting the 5-year GSCC survival rate statistics. To the best of our knowledge, this is the first such GSCC case reported in the Surgical Oncology Outpatient Clinic (Copernicus Memorial Hospital, Lodz, Poland) and these findings add to the limited data on GSCC. Although this is a very rare condition, it should always be considered during the process of diagnosis of gastric tumors.
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Affiliation(s)
- Jagoda Jakubik
- Department of Biomedical Chemistry, Faculty of Health Sciences, Medical University of Lodz, 92-215 Lodz, Poland,International Doctoral School, Medical University of Lodz, 90-647 Lodz, Poland,Correspondence to: Ms. Jagoda Jakubik, Department of Biomedical Chemistry, Faculty of Health Sciences, Medical University of Lodz, 6/8 Mazowiecka Street, 92-215 Lodz, Poland, E-mail:
| | - Alicja Majos
- Department of General and Transplant Surgery, Medical University of Lodz, 90-153 Lodz, Poland
| | | | - Ewa Wrona
- Department of Chemotherapy, Medical University of Lodz, 93-513 Lodz, Poland
| | - Agnieszka Kaufman-Szymczyk
- Department of Biomedical Chemistry, Faculty of Health Sciences, Medical University of Lodz, 92-215 Lodz, Poland
| | - Katarzyna Lubecka-Gajewska
- Department of Biomedical Chemistry, Faculty of Health Sciences, Medical University of Lodz, 92-215 Lodz, Poland
| | - Jaroslaw Jakubik
- Department of Surgical Oncology, Medical University of Lodz, 93-513 Lodz, Poland,Dr Jaroslaw Jakubik, Department of Surgical Oncology, Medical University of Lodz, 22 Pabianicka Street, 93-513 Lodz, Poland, E-mail:
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