1. De novo adolescent gastric carcinoma: a first case report in Saskatchewan, Canada
- Author
-
Lara Witt, Richard J Bigsby, Yagan Pillay, and Rathi M. Sabaratnam
- Subjects
medicine.medical_specialty ,AcademicSubjects/MED00910 ,paediatric tumour registry ,Paediatric oncology ,business.industry ,Incidence (epidemiology) ,General surgery ,Cancer ,Case Report ,Diagnostic laparoscopy ,Gastric carcinoma ,medicine.disease ,paediatric malignancy ,adolescent gastric cancer ,Melena ,Concomitant ,medicine ,Surgery ,jscrep/0160 ,medicine.symptom ,Family history ,business - Abstract
Adolescent gastric cancers are extremely rare with a reported incidence of 0.05โ0.10% in North America. We present a de novo case of gastric carcinoma in a 17-year-old teenager with no concomitant family history or risk factors. His main clinical presentation included anaemia and melaena stools. Despite an extensive clinical workup that included a diagnostic laparoscopy, the tumour was deemed surgically irresectable, and he was started on a palliative chemotherapy protocol at the local paediatric oncology centre. He demised 7 months later. This is the first recorded case of an adolescent gastric cancer in Saskatchewan, Canada. This case highlights the need for an international tumour registry to document and investigate rare adolescent gastric malignancies and thereby potentiate a possible cure through the pooling of limited resources.
- Published
- 2020