Gastric Linitis Plastica and role of endoscopic ultrasound: an under-recognised diagnostic modality.

Authors

  • Usman Iqbal Aujla Department of Gastroenterology and Hepatology, Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan https://orcid.org/0000-0002-0410-8970
  • Sadia Jabbar Department of Gastroenterology and Hepatology, Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan
  • Muhammad Atique Department of Histopathology, Pakistan Kidney and Liver institute and Research Center, Lahore, Pakistan https://orcid.org/0000-0002-7763-5923

DOI:

https://doi.org/10.47391/JPMA.11-2481

Abstract

Gastric linitis plastica is an aggressive malignancy with poor prognosis. Timely diagnosis is important for effective management. However, the conventional endoscopic biopsies are often inconclusive leading to delay in diagnosis and subsequent management. We present a case of a 55-year old female with high suspicion of gastric linitis plastica on gastroscopy with repeated negative endoscopic biopsies. She underwent an endoscopic ultrasound fine needle aspiration (EUS-FNA) at our center with establishment of diagnosis of gastric malignancy. There are no established guidelines about the role of EUS-FNA as a sequential diagnostic modality for this tumour. However, EUS-FNA is a highly sensitive modality to establish diagnosis in challenging cases where routine endoscopy remains inconclusive.

Keywords: Gastric linitis plastica, Endoscopic ultrasound, Fine needle aspiration.

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Author Biographies

Usman Iqbal Aujla, Department of Gastroenterology and Hepatology, Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan

consultant Gatroenterologist and hepatologist

Muhammad Atique, Department of Histopathology, Pakistan Kidney and Liver institute and Research Center, Lahore, Pakistan

consultant histopathologist

Published

2022-05-07

How to Cite

Aujla, U. I., Jabbar, S., & Atique, M. (2022). Gastric Linitis Plastica and role of endoscopic ultrasound: an under-recognised diagnostic modality. Journal of the Pakistan Medical Association, 72(01). https://doi.org/10.47391/JPMA.11-2481

Issue

Section

CASE REPORT