Shariff Hamzah, Luu Tristan, Kavis Haluk, Obuch Joshua
Geisinger Commonwealth School of Medicine, Scranton, PA.
Department of Internal Medicine, Geisinger Wyoming Valley Medical Center, Wilkes Barre, PA.
ACG Case Rep J. 2024 Jul 27;11(8):e01419. doi: 10.14309/crj.0000000000001419. eCollection 2024 Aug.
Gastric signet ring cell adenocarcinoma (SRCA) is an aggressive malignancy primarily diagnosed in advanced stages. Metastasis to other organ systems is uncommon, however, associated with poor prognosis. We present a young patient with persistent pain in the testicle. Histopathologic examination of the resected testicle revealed metastatic signet ring adenocarcinoma prompting follow-up endoscopy with biopsy confirming gastric SRCA. After 10 months of systemic chemotherapy, the patient developed worsening headaches, and cerebrospinal fluid cytology confirmed leptomeningeal metastasis. This case underscores the rare manifestation of SRCA and the importance of vigilance for atypical presentations to ensure timely diagnosis and management.
胃印戒细胞腺癌(SRCA)是一种侵袭性恶性肿瘤,主要在晚期被诊断出来。转移至其他器官系统并不常见,然而,其与预后不良相关。我们报告一名年轻患者,其睾丸持续疼痛。对切除的睾丸进行组织病理学检查发现转移性印戒腺癌,随后进行随访内镜检查并活检,证实为胃SRCA。经过10个月的全身化疗后,患者头痛加重,脑脊液细胞学检查证实为软脑膜转移。该病例强调了SRCA的罕见表现以及警惕非典型表现以确保及时诊断和治疗的重要性。