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Diffuse type gastric adenocarcinoma with atypical presentation: A case report
Gidion Edwin1,2, Yohana Mbishi1,2, Francis Zerd3
1Department of Internal Medicine Benjamin Mkapa Hospital Dodoma Tanzania.
Clinical Case Reports
|May 9, 2024
Summary
Gastric adenocarcinoma, a rare malignancy, can present atypically, challenging diagnosis. Vigilance for unusual symptoms is crucial, especially in younger individuals or resource-limited settings.
Area of Science:
- Oncology
- Gastroenterology
Background:
- Gastric adenocarcinoma is a prevalent malignancy typically affecting older adults and presenting with abdominal symptoms.
- Atypical presentations, such as back pain and respiratory distress, pose diagnostic challenges, particularly in younger patients.
Observation:
- A case report details a late-30s male initially presenting with back pain, shortness of breath, and constitutional symptoms, leading to a presumptive tuberculosis diagnosis and treatment.
- The patient later developed abdominal pain and intractable vomiting, prompting further investigation.
Findings:
- Oesophagoduodenoscopy (OGD), histology, and immunohistochemistry confirmed diffuse type gastric adenocarcinoma.
- The patient succumbed to complications of advanced disease.
Implications:
- This case underscores the importance of considering gastric adenocarcinoma in diverse clinical scenarios, even with atypical symptoms or in younger patients.
- Prompt OGD and potential genetic testing are vital for timely diagnosis and effective management of gastric adenocarcinoma.
- Heightened clinical suspicion is necessary, especially in regions with endemic infectious diseases, to avoid diagnostic delays.
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