Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report
Sarcomatoid carcinoma, distinguished by its histological presentation of undifferentiated, spindle-shaped cells, is a rare variant of gastric cancer when contrasted with the more typical adenocarcinoma. Gastric cancer rarely metastasizes to the small bowel; these cancers typically arise from breast,...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Medical Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jmedsci.jmedsci_71_24 |
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| author | Yu-Jen Chen Hao Yen Si-Yuan Wu |
| author_facet | Yu-Jen Chen Hao Yen Si-Yuan Wu |
| author_sort | Yu-Jen Chen |
| collection | DOAJ |
| description | Sarcomatoid carcinoma, distinguished by its histological presentation of undifferentiated, spindle-shaped cells, is a rare variant of gastric cancer when contrasted with the more typical adenocarcinoma. Gastric cancer rarely metastasizes to the small bowel; these cancers typically arise from breast, lung, or melanoma origins. Herein, we present the case of a 70-year-old male who experienced melena and significant weight loss over 3 months. An esophagogastroduodenoscopy revealed an extensive ulcerative lesion in the lower curvature of the high body of the stomach, which is consistent with the results of the computed tomography scans. Surgery involving total gastrectomy and resection of multiple segments of small-bowel tumors was conducted. Pathological examination confirmed the presence of sarcomatoid carcinoma with poorly differentiated adenocarcinoma, along with metastases to the small intestine. This report highlights the aggressiveness of gastric sarcomatoid carcinoma, as well as the potential for the small bowel to be a potential metastasis site. |
| format | Article |
| id | doaj-art-39e92350e8074bf68d3bd8d8e82924f3 |
| institution | OA Journals |
| issn | 1011-4564 2542-4939 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj-art-39e92350e8074bf68d3bd8d8e82924f32025-08-20T02:12:42ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642542-49392024-12-0144626927310.4103/jmedsci.jmedsci_71_24Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case ReportYu-Jen ChenHao YenSi-Yuan WuSarcomatoid carcinoma, distinguished by its histological presentation of undifferentiated, spindle-shaped cells, is a rare variant of gastric cancer when contrasted with the more typical adenocarcinoma. Gastric cancer rarely metastasizes to the small bowel; these cancers typically arise from breast, lung, or melanoma origins. Herein, we present the case of a 70-year-old male who experienced melena and significant weight loss over 3 months. An esophagogastroduodenoscopy revealed an extensive ulcerative lesion in the lower curvature of the high body of the stomach, which is consistent with the results of the computed tomography scans. Surgery involving total gastrectomy and resection of multiple segments of small-bowel tumors was conducted. Pathological examination confirmed the presence of sarcomatoid carcinoma with poorly differentiated adenocarcinoma, along with metastases to the small intestine. This report highlights the aggressiveness of gastric sarcomatoid carcinoma, as well as the potential for the small bowel to be a potential metastasis site.https://journals.lww.com/10.4103/jmedsci.jmedsci_71_24gastric cancersarcomatoid carcinomasmall-bowel metastasis |
| spellingShingle | Yu-Jen Chen Hao Yen Si-Yuan Wu Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report Journal of Medical Sciences gastric cancer sarcomatoid carcinoma small-bowel metastasis |
| title | Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report |
| title_full | Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report |
| title_fullStr | Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report |
| title_full_unstemmed | Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report |
| title_short | Small-bowel Metastasis from Gastric Sarcomatoid Carcinoma: A Case Report |
| title_sort | small bowel metastasis from gastric sarcomatoid carcinoma a case report |
| topic | gastric cancer sarcomatoid carcinoma small-bowel metastasis |
| url | https://journals.lww.com/10.4103/jmedsci.jmedsci_71_24 |
| work_keys_str_mv | AT yujenchen smallbowelmetastasisfromgastricsarcomatoidcarcinomaacasereport AT haoyen smallbowelmetastasisfromgastricsarcomatoidcarcinomaacasereport AT siyuanwu smallbowelmetastasisfromgastricsarcomatoidcarcinomaacasereport |