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Indolent gastric carcinoma
K Singh1, R S Chhina, L S Chawla
1Department of Surgery, Gastroenterology, Dayanand Medical College & Hospital, Ludhiana, Punjab.
Summary
A woman with gastric carcinoma experienced a four-year asymptomatic period before developing gastric outlet obstruction. Resected adenocarcinoma showed serosal infiltration without metastasis, highlighting delayed progression of gastric cancer.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Gastric carcinoma diagnosis often relies on endoscopic biopsy.
- Dyspeptic symptoms and epigastric pain are common initial presentations.
- Delayed diagnosis and treatment can impact patient outcomes.
Observation:
- A 55-year-old woman presented with epigastric pain and dyspepsia.
- Initial endoscopic biopsies confirmed gastric carcinoma on two separate occasions.
- The patient remained asymptomatic for four years without specific therapy.
Findings:
- The patient later developed gastric outlet obstruction and significant weight loss.
- Histological examination of the resected specimen revealed adenocarcinoma.
- The adenocarcinoma infiltrated the serosa but showed no evidence of metastasis.
Implications:
- This case highlights the potential for slow progression in gastric carcinoma.
- Understanding delayed symptom onset is crucial for patient monitoring.
- Serosal invasion without metastasis impacts staging and treatment strategies.