Case report: acute abdominal pain in a 37-year-old patient and the consequences for his family.

Abstract:

BACKGROUND:Hereditary diffuse gastric cancer is a rare condition that accounts for approximately 1-3% of all gastric cancer cases. Due to its rapid and invasive growth pattern, it is associated with a very poor prognosis. As a result, comprehensive genetic testing is imperative in patients who meet the current testing criteria in order to identify relatives at risk. This case report illustrates the substantial benefit of genetic testing in the family of a patient diagnosed with hereditary diffuse gastric cancer. CASE PRESENTATION:A 37-year-old patient was admitted to the emergency department with acute abdominal pain. Following explorative laparoscopy, locally advanced diffuse gastric cancer was diagnosed. The indication for genetic testing of CDH1 was given due to the patient's young age. A germline mutation in CDH1 was identified in the index patient. As a result, several family members underwent genetic testing. The patient's father, brother and one aunt were identified as carriers of the familial CDH1 mutation and subsequently received gastrectomy. In both the father and the aunt, histology of the surgical specimen revealed a diffuse growing adenocarcinoma after an unremarkable preoperative gastroscopy. CONCLUSION:Awareness and recognition of a potential hereditary diffuse gastric cancer can provide a substantial health benefit not only for the patient but especially for affected family members.

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Niemeyer E,Mofid H,Zornig C,Burandt EC,Stein A,Block A,Volk AE

doi

10.1186/s12876-020-01283-2

subject

Has Abstract

pub_date

2020-05-03 00:00:00

pages

129

issue

1

issn

1471-230X

pii

10.1186/s12876-020-01283-2

journal_volume

20

pub_type

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