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隐匿于众目睽睽之下:一名年轻男性患者低黏附性胃癌的延迟诊断

Hidden in Plain Sight: Delayed Diagnosis of Poorly Cohesive Gastric Carcinoma in a Young Male Patient.

作者信息

Ellett Tyler R, Pippas Andrew, Rios Humberto, Willett William F, Diaz Maria B

机构信息

Internal Medicine, St. Francis Emory Healthcare, Columbus, USA.

Hematology and Oncology, Piedmont Healthcare, Columbus, USA.

出版信息

Cureus. 2025 Jul 1;17(7):e87097. doi: 10.7759/cureus.87097. eCollection 2025 Jul.

DOI:10.7759/cureus.87097
PMID:40606407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12211450/
Abstract

Poorly cohesive gastric adenocarcinoma is classified as a diffuse type of gastrointestinal tract tumor composed of undifferentiated cells with an inherent propensity for aggressive behavior. Recent trends in surveillance indicate that gastric cancer (GC) is affecting younger adults and is distinct from GC that occurs later in life. Early-onset gastric cancer (EOGC) is associated with various environmental and genetic factors. Younger patients with recurrent pyrosis may warrant earlier surveillance in light of this worrisome trend. Herein, we discuss a young male patient who developed non-hereditary, poorly cohesive gastric adenocarcinoma with an extended history of pyrosis despite long-term acid suppression and triple therapy for ().

摘要

低黏附性胃腺癌被归类为一种弥漫型胃肠道肿瘤,由具有侵袭性行为固有倾向的未分化细胞组成。近期的监测趋势表明,胃癌正在影响更年轻的成年人,且与老年期发生的胃癌有所不同。早发性胃癌(EOGC)与多种环境和遗传因素相关。鉴于这一令人担忧的趋势,有反复烧心症状的年轻患者可能需要更早进行监测。在此,我们讨论一名年轻男性患者,他患有非遗传性、低黏附性胃腺癌,尽管长期进行抑酸治疗和三联疗法治疗(),但仍有长期烧心病史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/673a2367135e/cureus-0017-00000087097-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/24c55dc087c1/cureus-0017-00000087097-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/d4f73a5a3f29/cureus-0017-00000087097-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/673a2367135e/cureus-0017-00000087097-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/24c55dc087c1/cureus-0017-00000087097-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/d4f73a5a3f29/cureus-0017-00000087097-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/836b/12211450/673a2367135e/cureus-0017-00000087097-i03.jpg

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本文引用的文献

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PD-L1 as a Biomarker in Gastric Cancer Immunotherapy.程序性死亡受体配体1作为胃癌免疫治疗中的生物标志物
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The impact of Helicobacter pylori infection, eradication therapy, and probiotics intervention on gastric microbiota in young adults.幽门螺杆菌感染、根除治疗和益生菌干预对年轻成年人胃微生物群的影响。
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Predictive role of microsatellite instability for PD-1 blockade in patients with advanced gastric cancer: a meta-analysis of randomized clinical trials.微卫星不稳定性对晚期胃癌患者 PD-1 阻断的预测作用:随机临床试验的荟萃分析。
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