Brimo Alsaman Muhamad Zakaria, Zeino Zainab, Alahmad Ziad, Attar Maysam, Haboush Seba, Rezkallah Vairy, Darwish Ahmad, Mohammad Mazen
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Department of Pathology, Aleppo University Hospital, Aleppo, Syria.
Ann Med Surg (Lond). 2022 Jun 9;79:103974. doi: 10.1016/j.amsu.2022.103974. eCollection 2022 Jul.
Gastric cancer (GC) is the fifth most common cancer and the fourth leading cause of death. It is much more common in advanced age and it is rare among the youngest patients (under 45 years of age).
we report an unusual presentation of advanced gastric adenocarcinoma in 39-year-old man, who presented to our hospital with inguinal hernia without obvious gastrointestinal symptoms. He had strong family history of cancer, heavy smoking habit and weight loss. The intra-operative procedure identified a cyanotic separate spermatocele which was confirmed by the urologist. During investigation we found multiple liver metastasis in abdominal CT and advanced gastric adenocarcinoma from gastric biopsy and metastasis in spermatic cord sample and peritoneum sample of poorly differentiated adenocarcinoma.
Although stomach adenocarcinoma is extremely rare in young patient but it should be kept in mind of physicians as a possible diagnosis if there are many risk factors.
胃癌是第五大常见癌症，也是第四大死亡原因。它在老年人群中更为常见，在最年轻的患者（45岁以下）中很少见。
我们报告了一名39岁男性晚期胃腺癌的不寻常表现，他因腹股沟疝就诊于我院，无明显胃肠道症状。他有很强的癌症家族史、重度吸烟习惯且体重减轻。术中发现一个蓝色的孤立性精索囊肿，经泌尿科医生确诊。在检查过程中，我们在腹部CT中发现多处肝转移，胃活检确诊为晚期胃腺癌，精索样本和腹膜样本中为低分化腺癌转移。
虽然胃腺癌在年轻患者中极为罕见，但如果存在许多危险因素，医生应将其作为一种可能的诊断予以考虑。
