Intestinal metastases diffused from primary gastric adenocarcinoma with signet ring cells: case report - Takeaways - MDSpire

Intestinal metastases diffused from primary gastric adenocarcinoma with signet ring cells: case report

  • By

  • Haiping Qi

  • Weiyan Li

  • Xingting Luo

  • Bin Huang

  • Xiaoguang Shi

  • Xuhua Xiao

  • July 13, 2026

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  • 1

    Signet ring cell carcinoma (SRCC) is a poorly differentiated subtype of gastric adenocarcinoma with a high propensity for metastasis.

  • 2

    This case report details a 62-year-old man with gastric SRCC exhibiting multiple polypoid intestinal metastases and elevated serum CEA levels.

  • 3

    Endoscopic evaluations revealed numerous ulcerative and polypoid lesions in the stomach, duodenum, and colorectum, confirmed as metastases.

  • 4

    Histopathological examination indicated poorly differentiated adenocarcinoma with signet ring cell features, affecting multiple intestinal sites.

  • 5

    The case highlights the unusual metastatic patterns of gastric SRCC and the importance of thorough assessments to avoid misdiagnosis.

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