Preview

Russian Journal of Pediatric Hematology and Oncology

Advanced search

A clinical case of signet ring cell carcinoma of stomach in a child. Endoscopic diagnostics

https://doi.org/10.21682/2311-1267-2023-10-2-99-106

Abstract

Malignant neoplasms (MNP) of the gastrointestinal tract in children are extremely rare and account for 1.2 % of all MNP. According to world literature, the incidence of gastric cancer is no more than 0.05 % of all cases of MNP of the gastrointestinal tract in children. In national and foreign literature, only isolated cases of stomach cancer in children and adolescents aged 10 to 18 years are described. Clinical manifestations of the disease, as in patients over the age of 18, are non-specific – epigastric pain, loss of appetite, weight loss, ascites, anemia, melena and others. In this regard, the diagnosis occurs at the late stages of the disease and, therefore, is characterized by an unfavorable prognosis. Gastric signet ring cell carcinoma (SRCC) is an uncommon histologic subtype of adenocarcinoma and usually occurs in people aged 20 to 40 years. We would like to report an extremely rare case of SRCC in a 14-year-old child.

About the Authors

V. V. Lozovaya
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Endoscopist of Endoscopy Department of the N.N. Trapeznikov Research Institute of Clinical Oncology,

23 Kashirskoe Shosse, Moscow, 115522



O. A. Gusarova
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Resident of Endoscopy Department of the N.N. Trapeznikov Research Institute of Clinical Oncology,

23 Kashirskoe Shosse, Moscow, 115522



O. A. Malikhova
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Head of the Endoscopy Department of the N.N. Trapeznikov Research Institute of Clinical Oncology, 23 Kashirskoe Shosse, Moscow, 115522

Professor of the Department of Oncology and Palliative Medicine, Bld. 1, 2/1 Barrikadnaya St., Moscow, 125993



N. S. Besova
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Leading Researcher Department of Antitumor Drug Therapy No. 2 Department of Drug Treatment,

23 Kashirskoe Shosse, Moscow, 115522



A. M. Suleymanova
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Researcher, Pediatric Oncologist Pediatric Oncology Department No. 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov,

23 Kashirskoe Shosse, Moscow, 115522



Yu. V. Sinyagina
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Head of the Day Hospital with Chemotherapy of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov,

23 Kashirskoe Shosse, Moscow, 115522



A. O. Tumanyan
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Senior Researcher Outpatient Department of the N.N. Trapeznikov Research Institute of Clinical Oncology,

23 Kashirskoe Shosse, Moscow, 115522



References

1. Brecht I.B., Graf N., Schweinitz D.V., Fruhwald M.C., Bielack S.S., Schneider D.T. Networking for children and adolescents with very rare tumors: foundation of the GROH pediatric rare tumor group. Klinische Padiatrie. 2009;221(3):181–5. doi: 10.1155/2014/527471.

2. Zhang W., Liang W.Q., Cai A.Z., Wang P.P., Xi H.Q., Liu G.X., Wei B. Clinicopathological characteristics of gastric cancer in adolescents aged 10–24 years: 17-year experience of 17 years in a single institute. Zhonghua Wei Chang Wai Ke Za Zhi. 2020;23(10):963–8. doi: 10.3760/cma.j.cn.441530-20190918-00351.

3. Al-Hussaini А., AlGhamdi S., Alsaaran R., Al-Kasim F., Habib Z., Ourfali N. Gastric adenocarcinoma presenting with gastric outlet obstruction in a child. Case Rep Gastrointest Med. 2014;2014:527471. doi: 10.1155/2014/527471.

4. Сhang V.Y., Federman N., Martinez-Agosto J., Tatishchev S.F., Nelson S.F. Whole exome sequencing of pediatric gastric adenocarcinoma reveals an atypical presentation of Li-Fraumeni syndrome. Pediatr Blood Cancer. 2013;60:570–4. doi: 10.1002/pbc.24316.

5. Lee Y.T., Ng E.K., Hung L.C., Chung S.C., Ching J.Y., Chan W.Y., Chu W.C., Sung J.J. Accuracy of endoscopic ultrasonography in diagnosing ascites and predicting peritoneal metastases in gastric cancer patients. Gut. 2005;54:1541–5. doi: 10.1136/gut.2004.055772.

6. Association of Oncologists of Russia, Russian Society of Clinical Oncology. Clinical guidelines “Stomach cancer”. M., 2020. 95 p. (In Russ.).

7. Harting M.T., Blakely M.L., Herzog C.E., Lally K.P., Ajani J.A., Andrassy R.J. Treatment issues in pediatric gastric adenocarcinoma. J Pediatr Surg. 2004;39(8):8–10. doi: 10.1016/j.jpedsurg.2004.04.043.

8. Subbiah V., Varadhachary G., Herzog C.E., Huh W.W. Gastric adenocarcinoma in children and adolescents. Pediatr Blood Cancer. 2011;57:524–7. doi: 10.1002/pbc.23051.

9. Kato S., Kikuchi S., Nakajima S. When does gastric atrophy develop in Japanese children? Helicobacter. 2008;13:278–81. doi: 10.1111/j.1523-5378.2008.00611.x.

10. Brenner H., Arndt V., Stürmer T., Stegmaier C., Ziegler H., Dhom G. Individual and joint contribution of family history and Helicobacter pylori infection to the risk of gastric carcinoma. Cancer. 2000;88(2):274–9. doi: 10.1002/(sici)1097-0142(20000115)88:2<274::aid-cncr5>3.0.co;2-9.

11. Blaser M.J., Chyou P.H., Nomura A. Age at establishment of Helicobacter pylori infection and gastric carcinoma, gastric ulcer, and duodenal ulcer risk. Cancer Res. 1995;55(3):562–5. PMID: 7834625.

12. Mauad E.C., Nogueira J.L., Souza J.M., Wohnrath D.R., Oliveira A.T., Colli G., Colli A.M. Gastric Cancer in Young Adults. Rev Bras Cancerol. 2000;46(3):299–304. doi: 10.32635/2176-9745.RBC.2000v46n3.

13. Sasaki H., Sasano H., Ohi R., Imaizumi M., Shineha R., Nakamura M., Shibuya D., Hayashi Y. Adenocarcinoma at the esophageal gastric junction arising in an 11-year-old girl. Pathol Int. 1999;49(12):1109–13. doi: 10.1046/j.1440-1827.1999.00993.x.

14. Lu J., Huang C.M., Zheng C.H., Li P., Xie J.W., Wang J.B., Lin J.X. Gastric carcinoma in a 12-year-old girl: a case report and literature review. Zhonghua Weichang Waike Zazhi. 2012;15(9):967–70. PMID: 22990936.

15. Kim D.Y., Ryu S.Y., Kim Y.J., Kim S.K. Clinicopathological characteristics of gastric carcinoma in young patients. Langenbecks Arch Sur. 2003;388(4):245–9. doi: 10.1007/s00423-003-0387-1.

16. Shin S.Y., Park H., Chae S.W., Woo H.Y. Microangiopathic hemolytic anemia as the fi rst manifestation of metastatic signet ring cell carcinoma of unknown origin: a case report and review of literature. Korean J Lab Med. 2011;31(3):157–61. doi: 10.3343/kjlm.2011.31.3.157.

17. Chu P.G., Weiss L.M. Immunohistochemical characterization of signet-ring cell carcinomas of the stomach, breast, and colon. Am J Clin Pathol. 2004;121(6):884–92. doi: 10.1309/A09E-RYMF-R64N-ERDW.

18. Nagtegaal I.D., Odze R.D., Klimstra D., Paradis V., Rugge M., Schirmacher P., Washington K.M., Carneiro F., Cree I.A. The 2019 WHO classifi cation of tumours of the digestive system. Histopathology. 2020;76(2):182–8. doi: 10.1111/his.13975.

19. Pernot S., Voron T., Perkins G., Lagorce-Pages C., Berger A., Taieb J. Signet-ring cell carcinoma of the stomach: impact on prognosis and specific therapeutic challenge. World J Gastroenterol. 2015;21(40):11428–38. doi: 10.3748/wjg.v21.i40.11428.

20. Davydov M.I., Ter-Ovanesov M.D., Abdikhakimov A.N. Gastric cancer: preoperative examination and topical staging issues. Prakticheskaya onkologiya = Practical Oncology. 2003;3:9–17. (In Russ.).

21. Curtis J.L., Burns R.C., Wang L., Mahour G.H., Ford H.R. Primary gastric tumors of infancy and childhood: 54-year experience at a single institution. J Pediatr Surg. 2008;43(8):1487–93. doi: 10.1016/j.jpedsurg.2007.11.016.

22. Tessler R.A., Dellinger M., Richards M.K., Goldin A.B., Beierle E.A., Doski J.J., Goldfarb M., Langer M., Nuchtern J.G., Raval M.V., Vasudevan S., Gow K.W. Pediatric gastric adenocarcinoma: A National Cancer Data Base review. J Pediatr Surg. 2019;54(5):1029–34. doi: 10.1016/j.jpedsurg.2019.01.048.

23. Slotta J.E., Heine S., Kauff els A., Krenn T., Grünhage F., Wagner M., Graf N., Schilling M.K., Schuld J. Gastrectomy with isoperistaltic jejunal parallel pouch in a 15-year-old adolescent boy with gastric adenocarcinoma and autosomal recessive agammaglobulinemia. J Pediatr Surg. 2011;46:e21–4. doi: 10.1016/j.jpedsurg.2011.06.005.

24. Varadhachary G., Ajani J.A. Preoperative and adjuvant therapies for upper gastrointestinal cancers. Expert Rev Anticancer Ther. 2005;5:719–25. doi: 10.1586/14737140.5.4.719.

25. Bartley A.N., Washington M.K., Colasacco C., Ventura C.B., Ismaila N., Benson A.B. 3rd, Carrato A., Gulley M.L., Jain D., Kakar S., Mackay H., Streutker C., Tang L., Troxell M., Ajani J.A. HER2 testing and clinical decision making in gastroesophageal adenocarcinoma: guideline from the College of American Pathologists, American Society of Clinical Pathology, and American Society of Clinical Oncology. J Clin Oncol. 2017;35(4):446–64. doi: 10.1200/JCO.2016.69.4836.

26. Bartley A.N., Fitzgibbons P.L., Broaddus R.R., Shi C. Template for Reporting Results of DNA Mismatch Repair Testing in Patients Being Considered for Checkpoint Inhibitor Immunotherapy. College of American Pathologists 2018;1–2.

27. Le D.T., Uram J.N., Wang H., Bartlett B.R., Kemberling H., Eyring A.D., Skora A.D., Luber B.S., Azad N.S., Laheru D., Biedrzycki B., Donehower R.C., Zaheer A., Fisher G.A., Crocenzi T.S., Lee J.J., Duff y S.M., Goldberg R.M., de la Chapelle A., Koshiji M., Bhaijee F., Huebner T., Hruban R.H., Wood L.D., Cuka N., Pardoll D.M., Papadopoulos N., Kinzler K.W., Zhou S., Cornish T.C., Taube J.M., Anders R.A., Eshleman J.R., Vogelstein B., Diaz L.A. Jr. PD-1 Blockade in Tumors with Mismatch-Repair Defi ciency. N Engl J Med. 2015;372(26):2509–20. doi: 10.1056/NEJMoa1500596.

28. Joshi S.S., Badgwell B.D. Current treatment and recent progress in gastric cancer. CA Cancer J Clin. 2021;71(3):264–79. doi: 10.3322/caac.21657.

29. Blair V.R., McLeod M., Carneiro F., Coit D.G., D’Addario J.L., van Dieren J.M., Harris K.L., Hoogerbrugge N., Oliveira C., van der Post R.S., Arnold J., Benusiglio P.R., Bisseling T.M., Boussioutas A., Cats A., Charlton A., Schreiber K.E.C., Davis J.L., Pietro M.D., Fitzgerald R.C., Ford J.M., Gamet K., Gullo I., Hardwick R.H., Huntsman D.G., Kaurah P., Kupfer S.S., Latchford A., Mansfi eld P.F., Nakajima T., Parry S., Rossaak J., Sugimura H., Svrcek M., Tischkowitz M., Ushijima T., Yamada H., Yang H.K., Claydon A., Figueiredo J., Paringatai K., Seruca R., Bougen-Zhukov N., Brew T., Busija S., Carneiro P., DeGregorio L., Fisher H., Gardner E., Godwin T.D., Holm K.N., Humar B., Lintott C.J., Monroe E.C., Muller M.D., Norero E., Nouri Y., Paredes J., Sanches J.M., Schulpen E., Ribeiro A.S., Sporle A., Whitworth J., Zhang L., Reeve A.E., Guilford P. Hereditary diff use gastric cancer: updated clinical practice guidelines. Lancet Oncol. 2020;21(8):e386–97. doi: 10.1016/S1470-2045(20)30219-9.

30. Joshi S.S., Badgwell B.D. Current treatment and recent progress in gastric cancer. CA Cancer J Clin. 2021;71(3):264–79. doi: 10.3322/caac.21657.

31. Namikawa K., Kawachi H., Tsugeno Y., Nakajima T., Fujisaki J. Detection of multiple intramucosal signet-ring cell carcinomas by white-light endoscopy and magnifying endoscopy with narrow-band imaging in a hereditary diff use gastric cancer patient with a CDH1 germline mutation. VideoGIE. 2021;13;6(4):163–6. doi: 10.1016/j.vgie.2020.11.020.

32. Fujiyoshi M.R.A., Inoue H., Fujiyoshi Y., Nishikawa Y., Toshimori A., Shimamura Y., Tanabe M., Ikeda H., Onimaru M. Endoscopic Classifi cations of Early Gastric Cancer: A Literature Review. Cancers. 2022;14(1):100. doi: 10.3390/cancers14010100.

33. Phalanusitthepha C., Grimes K.L., Ikeda H., Sato H., Sato C., Hokierti C., Inoue H. Endoscopic features of early-stage signet-ringcell carcinoma of the stomach. World J Gastrointest Endosc. 2015;7(7):741–6. doi: 10.4253/wjge.v7.i7.741.

34. Zhou H., Li M. The Value of Gastric Cancer Staging by Endoscopic Ultrasonography Features in the Diagnosis of Gastroenterology. Comput Math Methods Med. 2022;18(2022):6192190. doi: 10.1155/2022/6192190.

35. Morgant S., Artru P., Oudjit A., Lourenco N., Pasquer A., Walter T., Gornet J.M., Rouquette A., Brezault C., Coriat R. Endoscopic ultrasound effi cacy in staging gastric linitisplastica lesion: a retrospective multicentric French study. Ann Transl Med. 2021;9(1):50. doi: 10.21037/atm-20-3474.


Review

For citations:


Lozovaya V.V., Gusarova O.A., Malikhova O.A., Besova N.S., Suleymanova A.M., Sinyagina Yu.V., Tumanyan A.O. A clinical case of signet ring cell carcinoma of stomach in a child. Endoscopic diagnostics. Russian Journal of Pediatric Hematology and Oncology. 2023;10(2):99-106. (In Russ.) https://doi.org/10.21682/2311-1267-2023-10-2-99-106

Views: 1136


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2311-1267 (Print)
ISSN 2413-5496 (Online)
X