Incidental Gastric Signet Ring Cell Carcinoma: A Call for an Aggressive Approach.
Isr Med Assoc J
; 25(8): 538-541, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-37574891
ABSTRACT
BACKGROUND:
Signet ring cell carcinoma (SRCC) is classified as an undifferentiated gastric carcinoma with poor prognosis. Early SRCCs are associated with improved prognosis.OBJECTIVES:
To describe the outcomes of incidental SRCC.METHODS:
In this case series, 900 medical charts of patients with SRCC were screened to identify patients with incidental SRCC, defined as diagnosed in random, non-focal-lesion-targeted biopsies.RESULTS:
Six patients were diagnosed with incidental SRCC and underwent gastrectomy. The final pathology of five patients revealed one or more small foci of early SRCC without lymphovascular invasion. Only one patient had no evidence of malignancy. The median follow-up after surgery was 4.2 years (50 months, range 37-90 months). No deaths or recurrences were recorded during the follow-up period. These results resemble the reported survival rate for early SRCC.CONCLUSIONS:
An aggressive surgical approach in incidental gastric SRCC patients is recommended, as they have a chance for long-term survival.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
Revista:
Isr Med Assoc J
Asunto de la revista:
MEDICINA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Israel