Journal
MEDICINA-LITHUANIA
Volume 58, Issue 4, Pages -Publisher
MDPI
DOI: 10.3390/medicina58040470
Keywords
signet ring cell carcinoma; carcinoid; neuroendocrine tumour; gastrin; carcinogenesis
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Gastric neuroendocrine tumors (NETs) and signet ring cell carcinomas may have a common origin, with chronic atrophic gastritis, hypoacidity, and hypergastrinemia as shared risk factors.
Gastric cancer is a heterogenous group of tumours, and a better understanding of the carcinogenesis and cellular origin of the various sub-types could affect prevention and future treatment. Gastric neuroendocrine tumours (NETs) and adenocarcinomas that develop in the gastric corpus and fundus of patients with chronic atrophic gastritis have atrophic gastritis, hypoacidity, and hypergastrinemia as common risk factors and a shared cellular origin has been suggested. In particular, signet ring cell carcinomas have previously been suggested to be of neuroendocrine origin. We present a case of a combined gastric NET and signet ring cell carcinoma in a patient with hypergastrinemia due to autoimmune chronic atrophic gastritis. The occurrence of such a combined tumour strengthens the evidence that gastric NETs and signet ring cell carcinomas develop from a common origin.
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