Value of endoscopic ultrasound in the diagnosis of gastric plastic linitis
Abstract
Background: gastric plastic linitis is an advanced form of gastric cancer with an unfavorable prognosis and a complex diagnosis.
Objective: to present the case of a patient with gastric plastic linitis whose initial evaluation was inconclusive for diagnosis.
Case report: a 51-year-old male patient presented with abdominal pain in the epigastrium, vomiting, weight loss and decay. Analytical studies are performed and they conclude diffuse gastric plastic linitis with possible peritoneal carcinosis.
Conclusions: gastric plastic linitis is an infrequent disease with high morbidity and mortality and in some cases requires special studies such as endoscopic ultrasound in patients with high diagnostic suspicion.
DeCS: LINITIS PLASTICA/diagnostic imaging; LINITIS PLASTICA/mortality; ENDOSONOGRAPHY; ADENOCARCINOMA/diagnosis; CASE REPORTS.
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References
1. Coburn N, Cosby R, Klein L, Knight G, Malthaner R, Mamazza J, et al. Staging and surgical approaches in gastric cancer: A systematic review. Cancer Treat Rev [Internet]. 2018 Feb [citado 4 Sep 2018];63:[aprox. 12 p.]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305737217302086.pdf?locale=es_ES&searchIndex
2. Blackham AU, Swords DS, Edward LA, Fino NF, Squires MH, Poultsides G, et al. Is Linitis Plastica a Contraindication for Surgical Resection: A Multi-Institution Study of the U.S. Gastric Cancer Collaborative. Ann Surg Oncol [Internet]. 2016 Apr [citado 4 Sep 2018];23(4):[aprox. 16 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980579/pdf/nihms805344.pdf
3. Cardoso R, Coburn N, Seevaratnam R, Sutradhar R, Lourenco LG, Mahar A, et al. A systematic review and meta-analysis of the utility of EUS for preoperative staging for gastric cancer. Gastric Cancer [Internet]. 2012 [citado 4 Sep 2018];15(Suppl 1):[aprox. 8 p.]. Disponible en: https://link.springer.com/content/pdf/10.1007%2Fs10120-011-0115-4.pdf
4. Luu C, Thapa R, Woo K, Coppola D, Almhanna K, Pimiento JM, et al. Does histology really influence gastric cancer prognosis? J Gastrointest Oncol [Internet]. 2017 [citado 4 Sep 2018];8(6):[aprox. 11 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750182/.
5. Watari J, Ueyama S, Tomita T, Ikehara H, Hori K, Hara K, et al. What types of early gastric cancer are indicated for endoscopic ultrasonography staging of invasion depth? World J Gastrointest Endosc [Internet]. 2016 [citado 4 Sep 2018]; 8(16):[aprox. 10 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4997788/.
6. Chaoqun H, Rong L, Huiying S, Jun L, Wei Q, Zhen D, et al. The role of endoscopic ultrasound on the preoperative T staging of gastric cancer: A retrospective study. Medicine (Baltimore) [Internet]. 2016 [citado 4 Sep 2018];95(36):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023869/pdf/medi-95-e4580.pdf
7. Liu YM, Yang XJ. Endoscopic ultrasound-guided cutting of holes and deep biopsy for diagnosis of gastric infiltrative tumors and gastrointestinal submucosal tumors using a novel vertical diathermic loop. World J Gastroenterol [Internet]. 2017 [citado 4 Sep 2018];23(15):[aprox. 7 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5403759/.
8. Muraoka S, Tsuchida K, Iwasaki M, Izawa N, Jinnai H, Komatsubara T, et al. A case report of gastric linitis plastica diagnosed by endoscopic ultrasound-guided fine needle aspiration. Medicine (Baltimore) [Internet]. 2017 [citado 4 Sep 2018];96(50):[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815695/pdf/medi-96-e8937.pdf
9. Jung K, Park MI, Kim SE. Borrmann type 4 advanced gastric cancer: focus on the development of scirrhous gastric cancer. Clin Endosc [Internet]. 2016 [citado 4 Sep 2018];49:[aprox. 10 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27456608
10. Okanobu H, Hata J, Haruma K. Giant gastric folds: differential diagnosis at US. Radiology [Internet]. 2003 [citado 4 Sep 2018];226:[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/12601220
11. Liu Y, Chen K, Yang XJ. Endoscopic ultrasound-guided fine-needle aspiration used in diagnosing gastric linitis plastica: Metastatic lymph nodes can be valuable targets. J Gastroenterol Hepatol [Internet]. 2018 [citado 4 Sep 2018];33(7):[aprox. 5 p.]. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1111/jgh.14300
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22 julio 2025