Suddenly, I went to the doctor to examine the skin lesions and discovered malignant stomach cancer

Examination of the lump on the shoulder detected metastatic malignant gastric cancer

This type of cancer often occurs in young people and is more difficult to treat than other types of stomach cancer, the 5-year survival rate is only 5-15%˳

A 51-year-old male patient, two months ago, had a dark purple-shaped hard patch in the left shoulder blade, with several subcutaneous nodules scattered around˳ Doctor diagnoses: Ring cell carcinoma gastric and lymph node metastasis˳

“Ring cell carcinoma is a type of adenocarcinoma, it has a romantic name, named after the morphology of the cancer cells under the microscope˳ Those are mucus-containing cells, which are rich in cells˳ cytoplasm, the nucleus is flattened to one side by the cytoplasm, resembling a ring˳

Skin metastasis of ring cell carcinoma is very rare, extremely rare, although the disease manifests itself at a late stage, patients often go to the doctor for skin diseases like Dr˳ Hung’s clinical case” – Dr˳ Van Phuc, Saint Paul Hospital,eh?strong n˳

Such cases are called stomach cancer hidden possible˳ This means that most patients have no stomach symptoms, and inexperienced doctors will focus on dermatology and miss cancer˳

The characteristic skin lesions of this type have three forms: sclerotic, intradermal nodules and skin ulcers˳ Recently discovered by the doctor, there are two lesions: one is hardening of the skin like an armor shell, showing thickened, dark, hard patches; The second is the lumpy nodules that the doctor feels under the skin˳

Patient TVD (40 years old, Hanoi) has been vomiting for 2 months now, losing 8kg˳ In February 2023, the endoscopy did not detect the disease˳ Recently vomiting a lot, endoscopic results of pyloric stenosis, diagnosis of gastric cancer˳ Endoscopic examination of the tumor has metastasized mesenteric, poor prognosis…

Doctor Phuc said endoscopy is very difficult to detect this disease˳ Because mucin-inhibitory ring-shaped adenocarcinoma, mucin-secreting inhibitory cells are most abundant in the submucosa of the stomach˳ As a result, the mucosa is still normal, so gastroscopy is mostly missed˳

The key to the diagnosis is the “shell of armor” sign˳ The experienced endoscopist will find a position of the stomach that is harder than usual, raised, the mucosa is impassable, the color is slightly darker purple than the pink color of the gastric mucosa˳

“I discovered two patients ring cell cancer” data-rel=”follow”>ring cell cancer on ultrasound, before endoscopy in the anterior gland was not seen˳ Since most gastric ring cell carcinomas are occult, the word “hidden” in its own right is located under the mucosa, so endoscopic detection is difficult, clinical symptoms are often absent, ultrasound or method is easy to miss” – bevildoer Phuc Thong believe˳

Difficult to treat and easy to die

Assoc˳ Prof˳ Dr˳ Nguyen Anh Tuan, head of the digestive surgery department, 108 Central Military Hospital, said that ring stomach cancer is a rare type of stomach cancer with special properties˳ Incidence accounts for about 1-3% of all stomach cancers, but mortality is higher than for other types of stomach cancer˳

Ring-shaped stomach cancer can occur at any age, but it is more common in young people and can be more difficult to treat than other types of stomach cancer˳

Symptoms of the disease are similar to other types of gastric adenocarcinoma, including: anorexia, weight loss, fatigue, epigastric pain, bloating, dyspepsia, nausea, vomiting, and stomach bleeding˳ …

For the definitive diagnosis of cricoid gastric cancer and for staging, endoscopy, biopsy, and multislice computed tomography with contrast injection are required˳

The treatment of cricoid gastric cancer usually consists of surgery to completely remove the tumor and remove the entire regional lymph node, resection of the invasive and metastatic organs, and then possibly with further treatment with other methods˳ chemotherapy, radiation or immunotherapy˳

However, due to its special nature, the disease is often difficult to treat and has a higher chance of recurrence than other types of stomach cancer, because of its poor response to chemotherapy and often drug resistance˳

Hiye More research is underway to find more effective treatments, including using new chemotherapy preparations, or combining chemotherapy with surgery and radiation˳ Choosing the right treatment depends on the patient’s condition and the stage of the tumor, requiring careful evaluation from a medical professional˳

Some studies have shown that the 5-year survival rate for cricoid gastric cancer is between 5 and 15%, while the 5-year survival rate for other types of gastric cancer is typically 25 to 30˳ %˳

The reason for this is mainly because cricoid gastric cancer is often detected at an advanced stage and is more difficult to treat than other stomach cancers˳

How to eat to avoid gastroesophageal reflux disease causing cancer

Gastroesophageal reflux disease can easily cause ulcers and narrowing of the esophagus, esophagitis can easily lead to esophageal cancer, some respiratory complications, and even death˳