'When pain goes a long way' a case of gastric adenocarcinoma in a 23-year-old female /

Tejada, Kristine G., MD.

'When pain goes a long way' a case of gastric adenocarcinoma in a 23-year-old female / Kristine G. Tejada. - Fairview, Quezon City Department of Medicine, FEU-NRMF 2017 - photos (colored); (in folder)

Includes appendices and bibliographical references.

ABSTRACT: According to the World Health Organization (WHO), gastric cancer is the third most common cause of cancer-related death in the world. In the Philippines, gastric cancer is the 7th leading cancer since 2010. The incidence rate begins to increase starting at the age of 50 among men and 55 among women. About 85% of gastric cancers are adenocarcinomas. There are 2 categories: diffuse type and intestinal type. In a diffuse type gastric adenocarcinoma, the cells infiltrate and thickens the stomach wall without forming a distinct mass. An intestinal type, on the other hand, is made up of cohesive neoplastic cells that form gland like tubular structures. This is a case of a 23 year-old, female who presented with non-radiating epigastric pain. Initial impression was acute peptic disease. Esophagogastroduodenoscopy and biopsy revealed Gastric Adenocarcinoma. The patient underwent Laparoscopic, Subtotal Gastrectomy with D2 Dissection Roux-en-Y Gastrojejunostomy.

Research - Department of Medicine

MED20170007