Gastric medullary carcinoma.

Carcinoma medular gástrico.

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Alicia Quiroga
Fernando Contreras
Ricardo Elías Brugés
Abstract

Medullary carcinoma of the stomach (GMC) is a rare and poor differentiated neoplasm with better prognosis that shares many characteristic with medullary tumors of breast, lung, nasopharynx, thymus and salivary gland. Diagnosis includes positivity in PAS-alcian blue, alcian blue, Masson’s trichrome, and reticulin. Gastric medullary carcinoma shows an important lymphoid infiltration (T and B cells), dendritic, plasmodials and giant multinucleated macrophagues in close relations with neoplasic cells. Genomic results suggest that Epstein-Barr virus (EBV) becomes associated with GMC.

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Author Biographies (SEE)

Alicia Quiroga, Instituto Nacional de Cancerología (INC)

Grupo de Oncología Clínica, Instituto Nacional de Cancerología (INC) (Bogotá, Colombia).

Fernando Contreras, Instituto Nacional de Cancerología (INC)

Grupo de Oncología Clínica, Instituto Nacional de Cancerología (INC) (Bogotá, Colombia).

Ricardo Elías Brugés, Instituto Nacional de Cancerología (INC)

Grupo de Oncología Clínica, Instituto Nacional de Cancerología (INC) (Bogotá, Colombia).

References

Watanabe H, Enjoji M, Imai T. Gastric carcinoma with lymphoid stroma. Its morphologic characteristics and prognostic correlations. Cancer. 1976;38(1):232-43.

Herath CH, Chetty R. Epstein-Barr virus-associated lymphoepithelioma-like gastric carcinoma. Arch Pathol Lab Med. 2008;132(4):706-9.

Minamoto T, Mai M, Watanabe K, Ooi A, Kitamura T, Takahashi Y, et al. Medullary carcinoma with lymphocytic infiltration of the stomach. Clinicopathologic study of 27 cases and immunohistochemical analysis of the subpopulations of infiltrating lymphocytes in the tumor. Cancer. 1990;66(5):945-52.

Dogan M, Savas B, Utkan G, Bayar S, Ensari A, Icli F. A rare gastric neoplasm: gastric medullary carcinoma. Med Oncol. 2011;28(4):945-7.

Lü BJ, Lai M, Cheng L, Xu JY, Huang Q. Gastric medullary carcinoma, a distinct entity associated with microsatellite instabilityH, prominent intraepithelial lymphocytes and improved prognosis. Histopathology. 2004;45(5):485-92.

Oda K, Tamaru J, Takenouchi T, Mikata A, Nunomura M, Saitoh N, et al. Association of Epstein-Barr virus with gastric carcinoma with lymphoid stroma. Am J Pathol. 1993;143(4):1063-71.

Nakamura S, Ueki T, Yao T, Ueyama T, Tsuneyoshi M. EpsteinBarr virus in gastric carcinoma with lymphoid stroma. Special reference to its detection by the polymerase chain reaction and in situ hybridization in 99 tumors, including a morphologic analysis. Cancer. 1994;73(9):2239-49.

Kume T, Oshima K, Yamashita Y, Shirakusa T, Kikuchi M. Relationship between Fas-ligand expression on carcinoma cell and cytotoxic T-lymphocyte response in lymphoepithelioma-like cancer of the stomach. Int J Cancer. 1999;84(4):339-43.

Hsu DH, de Waal Malefyt R, Fiorentino DF, Dang MN, Vieira P, de Vries J, et al. Expression of interleukin-10 activity by EpsteinBarr virus protein BCRF1. Science. 1990;250(4982):830-2.

Shibata D, Tokunaga M, Uemura Y, Sato E, Tanaka S, Weiss LM. Association of Epstein-Barr virus with undifferentiated gastric carcinomas with intense lymphoid infiltration. Lymphoepithelioma-like carcinoma. Am J Pathol. 1991;139(3):469-74.

Chen JN, He D, Tang F, Shao CK. Epstein-Barr virus-associated gastric carcinoma: a newly defined entity. J Clin Gastroenterol. 2012;46(4):262-71.

Lewin KJ, Appelman HD. Carcinoma of the stomach. Atlas of tumor pathology. Third series, fascicle 18. Armed Forces Institute of Pathology: tumors of the esophagus and stomach. Washington: Ed. Rosay J.; 1995. p. 313, chap. 11.

Iezzoni JC, Gaffey MJ, Weiss LM. The role of Epstein-Barr virus in lymphoepithelioma-like carcinomas. Am J Clin Pathol. 1995;103(3):308-15.

Shah KM, Young LS. Epstein-Barr virus and carcinogenesis: beyond Burkitt’s lymphoma. Clin Microbiol Infect. 2009;15(11):982-8.

Shimizu K, Takiyama W, Mandai K, Tanada W, Kawabuchi Y, Heike Y. Undifferentiated carcinoma with lymphoid infiltration of the esophagus: a case report. Jpn J Clin Oncol. 1999;29(10):494-7.

Ibarrola de Andrés C, Rivas Infante E, Ballestín Carcavilla C, García Muñoz H, Colina Ruiz-Delgado F. Linfoepitelioma-like gástrico asociado a virus de Epstein-Barr: presentación de un caso. Iv-cvhap 2001 póster-e - 110.

Goh PG, Kim ES, Kim YJ, Lee SY, Moon HS, Kim SH, et al. [A case of gastric lymphoepithelioma-like carcinoma presenting as panperitonitis by perforation of stomach]. Korean J Gastroenterol. 2011;58(4):208-11.

Park WI, Kim HW, Park JH. A case of gastric lymphoepithelioma-like carcinoma presenting as a submucosal tumor. Korean J Gastrointest Endosc. 2004;28:123-6.

Yanai H, Nishikawa J, Mizugaki Y, Shimizu N, Takada K, Matsusaki K, et al. Endoscopic and pathologic features of EpsteinBarr virus-associated gastric carcinoma. Gastrointest Endosc. 1997;45(3):236-42.

Maeda E, Akahane M, Uozaki H, Kato N, Hayashi N, Fukayama M, et al. CT appearance of Epstein-Barr virus-associated gastric carcinoma. Abdom Imaging. 2009;34(5):618-25.

Kim SW, Shin HC, Kim IY, Kim CJ, Lee JH, Lee CK, et al. EpsteinBarr virus-associated lymphoepithelioma-like gastric carcinoma presenting as a submucosal mass: CT findings with pathologic correlation. Korean J Radiol. 2010;11(6):697-700.

Song HJ, Srivastava A, Lee J, Kim YS, Kim KM, Ki Kang W, et al. Host inflammatory response predicts survival of patients with Epstein-Barr virus-associated gastric carcinoma. Gastroenterology. 2010;139(1):84-92.

Ito H, Masuda H, Shimamoto F, Inokuchi C, Tahara E. Gastric carcinoma with lymphoid stroma: pathological, immunohistochemical analysis. Hiroshima J Med Sci. 1990;39(2):29-37.

Lertprasertsuke N, Tsutsumi Y. Gastric carcinoma with lymphoid stroma. Analysis using mucin histochemistry and immunohistochemistry. Virchows Arch A Pathol Anat Histopathol. 1989;414(3):231-41.

Burke AP, Yen TS, Shekitka KM, Sobin LH. Lymphoepithelial carcinoma of the stomach with Epstein-Barr virus demonstrated by polymerase chain reaction. Mod Pathol. 1990;3(3):377-80.

Cho JH, Lee WS, Lee KR, et al. Gastric lymphoepithelioma-like carcinoma diagnosed and treated by endoscopic submucosal dissection: review of the literature. Korean J Gastrointest Endosc. 2010;40:256-60.

Woo H, Shin SJ, Kim YB, et al. A case of endoscopic enucleation for gastric lymphoepithelioma-like carcinoma. Korean J Gastrointest Endosc. 2010;41:163-7.

Moon HS, Kang SH, Seong JK, Jeong HY, Song KS. Lymphoepithelioma-like gastric carcinoma resected by endoscopic submucosal dissection (ESD). Endoscopy. 2010;42 Suppl 2:E73-4.

Grogg KL, Lohse CM, Pankratz VS, Halling KC, Smyrk TC. Lymphocyte-rich gastric cancer: associations with Epstein-Barr virus, microsatellite instability, histology, and survival. Mod Pathol. 2003;16(7):641-51.

Adachi Y, Mori M, Maehara Y, Sugimachi K. Poorly differentiated medullary carcinoma of the stomach. Cancer. 1992;70(6):1462-6. 31. Takahashi Y, Ellis LM, Ohta T, Mai M. Angiogenesis in poorly differentiated medullary carcinoma of the stomach. Surg Today. 1998;28(4):367-72.

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