Open AccessCaso Clínico: Tumor Neuroendocrino Gástrico
Author(s) -
Yolanda Elisabeth Vintimilla Pogo,
Angélica María Bermejo Álvarez,
Marco Vinicio Urgilés Rivas,
Lorena Michell Uyaguari Díaz
Publication year - 2018
Publication title -
revista médica hospital josé carrasco arteaga
Language(s) - English
Resource type - Journals
ISSN - 1390-6445
DOI - 10.14410/2018.10.2.cc.24
Subject(s) - medicine , antrum , endoscopy , gastroenterology , stomach , neuroendocrine tumors , gastrectomy , biopsy , incidence (geometry) , cancer , endoscopic mucosal resection , surgery , physics , optics
BACKGROUND: Gastric neuroendocrine are very low tumors prevalence, constituting approximately 1.8 % of gastric tumors. They are usually solitary, with a size between 4 and 8 cm, most often in the male with average age of presentation between 60 - 70 years. It is diagnosis is increasing, thanks to the widespread use of upper digestive endoscopy, this being the gold standar. Regarding it is treatment; surgical resection of gastric neruroendocrine tumors is one of the choices when endoscopic resection is not possible. CASE REPORT: 45-year-old patient refers epigastralgia, nauseas and diarrhea, since two months ago. Upper digestive endoscopy is performed with report of Forrest III antrum ulcer. Biopsy: grade II neuroendocrine tumor. Abdominal tomography: no activity data in another place outside the stomach. EVOLUTION: Subtotal gastrectomy was performed, with a negative report in the transoperative study of peritoneal lavage fluid. The pathology report confirmed the diagnosis of unifocal neuroendocrine GII 3.5 cm tumor; in stage III B according to clinical guidelines, with surveillance for a period of one year without tumor activity. CONCLUSION: The gastric neuroendocrine is a rare type of cancer; upper gastrointestinal endoscopy was a fundamental in the diagnosis of this case that led the patient to seek medical evaluation. However, to reduce it is incidence is recommended to eat a diet rich in fruits, and fresh vegetables accompanied by adequate physical activity.