Scirrhous Gastric Carcinoma - Endoscopy (2 of 47)

General thickening of the tissues and an irregular ulcer in the posterior wall of the gastric body is noted. Continuation of this clinical case during admission at the hospital of the Seguro Social. A colleague (apparently without any endoscopic experience) repeated the endoscopy, taking ten biopsies that were negative for malignancy: as he had not observed any cancer but noted intense inflammation, and lack of full distention despite air insufflation. However the Computed tomography (CT) performed at that hospital and our CT Scan both display diffuse thickening of layers of the gastric camera. Rx. images of the upper digestive tract shows images compatible with linitis plastica see images below. As the biopsies were negative, the case was discussed in two medical conferences in the social security hospital (Hospital del Seguro Social and it had reached my ears that colleagues had expressed criticism against my person and spoke negatively behind my back. The patient improved clinically and was discharged with an appointment to follow-up in three months. While out of the hospital, her son contacted me again and I repeated the endoscopy. There was no doubt from the first endoscopy, since reaching the gastroesophagic junction. The image was of a linitis plastica of almost the entire stomach. However, I decided to send the biopsies to an additional three pathologists to shut his mouth because of the comments and speculation that occured within the Social Security hospital conference.