title: [Clinical and morphological features in a case of recent gastric carcinoma (the signet ring cell carcinoma type)].
abstract: The article presents the case of a male patient, hospitalized due to severe pain in the upper abdomen area, nausea, and vomiting. The patient was diagnosed with surgical acute abdomen, for which emergency surgery is performed. Upon penetration into the peritoneal cavity, stomach inspection shows at the medio-gastric level, on the greater curvature, a callous gastric ulcer, with a central perforation. A large excision is decided up to the healthy (normal) gastric tissue, and the resulting pieces are sent to the pathological anatomy laboratory. The histopathological exam reveals signet ring cell recent gastric carcinoma. The biopsy performed 1 month after surgery, prelevated from the antropyloric zone, reveals antropyloric gastritis with moderate activity and Helicobacter pylori positive. Due to the fact that such cases when this gastric cancer type is diagnosed in recent stages are extremely rare, we considered it useful to present it and look into its macroscopic and microscopic aspects, as well as into the differentiating diagnosis.
authors.affiliation: Universitatea de Medicină şi Farmacie "Carol Davila", Bucureşti, România. dr.dragos.serban@gmail.com
authors.forename: D
authors.initials: D
authors.lastname: Serban
authors.forename: C
authors.initials: C
authors.lastname: Brănescu
authors.forename: C
authors.initials: C
authors.lastname: Savlovschi
authors.forename: F
authors.initials: F
authors.lastname: Tiucă
authors.forename: C
authors.initials: C
authors.lastname: Tudor
authors.forename: A
authors.initials: A
authors.lastname: Kraft
authors.forename: M
authors.initials: M
authors.lastname: Sajin
authors.forename: G
authors.initials: G
authors.lastname: Simion
authors.forename: A
authors.initials: A
authors.lastname: Nistor
authors.forename: G
authors.initials: G
authors.lastname: Brumă
authors.forename: A
authors.initials: A
authors.lastname: Tudor
authors.forename: A-M
authors.initials: AM
authors.lastname: Dascălu
authors.forename: L
authors.initials: L
authors.lastname: Muşat
authors.forename: M
authors.initials: M
authors.lastname: Comandaşu
authors.forename: R
authors.initials: R
authors.lastname: Borcan
authors.forename: D
authors.initials: D
authors.lastname: Dumitrescu
authors.forename: A
authors.initials: A
authors.lastname: Popa-Cherecheanu
authors.forename: A
authors.initials: A
authors.lastname: Shanabli
authors.forename: C
authors.initials: C
authors.lastname: Găvan
authors.forename: A
authors.initials: A
authors.lastname: Bejgăneanu
authors.forename: A
authors.initials: A
authors.lastname: El-Khatib
authors.forename: E
authors.initials: E
authors.lastname: Ursache
authors.forename: S
authors.initials: S
authors.lastname: Oprescu
mesh_terms: D015746:Abdominal Pain / Q000382:microbiology; D001706:Biopsy; D018279:Carcinoma, Signet Ring Cell / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005743:Gastrectomy; D016481:Helicobacter Infections / Q000150:complications*; D016480:Helicobacter pylori / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000382:microbiology; D009367:Neoplasm Staging; D010439:Peptic Ulcer Perforation / Q000382:microbiology; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology* / Q000601:surgery; D013276:Stomach Ulcer / Q000382:microbiology; D016896:Treatment Outcome; D014839:Vomiting / Q000382:microbiology