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Related Concept Videos

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Gastritis II: Pathophysiology

The pathophysiology of gastritis begins with the colonization of the stomach lining by Helicobacter pylori (H. pylori). This bacterium spreads mainly via the oral-oral route through saliva or shared utensils, and can also be transmitted in overcrowded or unhygienic environments through contaminated water, despite its brief survival outside the body.ColonizationOnce ingested, H. pylori enters the stomach and begins colonization by navigating through the mucus layer lining the stomach wall. It...
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Related Experiment Video

Updated: May 17, 2026

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
06:21

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform

Published on: May 10, 2024

Hereditary gastric cancer.

F Carneiro1

  • 1Institute of Molecular Pathology and Immunology, University of Porto, Rua Dr Roberto Frias S/N, 4200-465 Porto, Portugal. fcarneiro@ipatimup.pt

Der Pathologe
|October 12, 2012
PubMed
Summary

Hereditary diffuse gastric cancer (HDGC) and gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) are distinct genetic syndromes. Understanding these hereditary gastric cancer syndromes is crucial for early detection and management.

Area of Science:

  • Gastroenterology
  • Oncology
  • Genetics

Background:

  • Hereditary diffuse gastric cancer (HDGC) is linked to germline CDH1 gene alterations, with over 100 mutations identified.
  • Prophylactic total gastrectomy is advised for mutation carriers, revealing intramucosal signet-ring cell carcinoma and pre-invasive lesions.
  • Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) is a distinct syndrome identified in 2011.

Purpose of the Study:

  • To differentiate between HDGC and GAPPS syndromes.
  • To highlight the genetic basis and clinical manifestations of these hereditary gastric cancer syndromes.
  • To inform diagnostic and management strategies for individuals at risk.

Main Methods:

  • Review of literature on HDGC and GAPPS.

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Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
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Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer

Published on: September 18, 2020

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Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
06:21

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform

Published on: May 10, 2024

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
07:50

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer

Published on: September 18, 2020

  • Analysis of genetic alterations (CDH1 mutations) in HDGC.
  • Histopathological examination of prophylactic gastrectomies in HDGC patients.
  • Characterization of GAPPS based on its unique polyposis and cancer risk profile.
  • Main Results:

    • HDGC is caused by germline CDH1 alterations, leading to signet-ring cell carcinoma.
    • GAPPS presents as fundic gland polyposis in the proximal stomach with a high risk of adenocarcinoma.
    • GAPPS is inherited in an autosomal dominant pattern and is not associated with colorectal or duodenal polyposis.

    Conclusions:

    • HDGC and GAPPS are distinct hereditary gastric cancer syndromes with different genetic underpinnings and clinical presentations.
    • Accurate diagnosis of these syndromes is essential for appropriate genetic counseling and clinical management.
    • Further research into the molecular mechanisms and optimal surveillance strategies for both syndromes is warranted.