title: Pediatric gastric cancer presenting with massive ascites.
abstract: Gastric adenocarcinoma is quite rare in children and as a result very little experience has been reported on with regards to clinical presentation, treatment and outcome. We describe the case of a 16-year-old boy presenting with abdominal fullness and poor appetite for 7 d. Sonography showed massive ascites and computed tomography imaging revealed the presence of gastric mucosa thickness with omentum caking. The diagnosis of gastric adenocarcinoma was biopsy-proven endoscopically. Despite gastric adenocarcinoma being quite rare in the pediatric patient population, we should not overlook the possibility of gastric adenocarcinoma when a child presents with distended abdomen and massive ascites.
authors: Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
authors: Chien-Heng
authors: CH
authors: Lin
authors: Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
authors: Wei-Ching
authors: WC
authors: Lin
authors: Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
authors: I-Hsiu
authors: IH
authors: Lai
authors: Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
authors: Shu-Fen
authors: SF
authors: Wu
authors: Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
authors: Kang-Hsi
authors: KH
authors: Wu
authors: Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
authors: An-Chyi
authors: AC
authors: Chen
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D000293:Adolescent; D000367:Age Factors; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001201:Ascites / Q000175:diagnosis / Q000209:etiology*; D001706:Biopsy; D018450:Disease Progression; D017809:Fatal Outcome; D005773:Gastroscopy; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Ascites; Children; Gastric adenocarcinoma