Abstract
Primary gastric squamous cell carcinoma is a very rare disease. A 53-year-old male with history of hypertension, alcoholism, and nicotine abuse presented to the hospital after a syncopal episode. He complained of bloating abdominal pain, early satiety, and poor appetite. A CT of his abdomen and pelvis revealed a gastric mass with diffuse hepatic metastasis. A gastric mass was seen on upper endoscopy and biopsies revealed gastric squamous cell carcinoma. There was no involvement of the esophagus. This case should add to the limited literature and serve as a reminder that while this is a rare malignancy, it must be considered when evaluating a gastric mass.
Highlights
Primary gastric squamous cell carcinoma (PGSCC) accounts for less than 0.2% of all primary gastric carcinomas [1]. e presentation is nonspeci c and given its rarity the etiology is not well known
A 53-year-old white male with hypertension, chronic alcoholism, and tobacco abuse presented to the emergency department for syncope while standing outside
PGSCC is considerably rare, with incidence reported at 0.2% of all gastric carcinomas [1,2,3,4,5,6]
Summary
Primary gastric squamous cell carcinoma (PGSCC) accounts for less than 0.2% of all primary gastric carcinomas [1]. e presentation is nonspeci c and given its rarity the etiology is not well known. Primary gastric squamous cell carcinoma (PGSCC) accounts for less than 0.2% of all primary gastric carcinomas [1]. E presentation is nonspeci c and given its rarity the etiology is not well known. Several strict diagnostic criteria have been established to make the diagnosis [2,3,4,5]
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