Evidence map›Paper›PMID 42729711›Full record

ArticleInternational journal of clinical and experimental pathology2026

Coexisting early gastric adenocarcinomas of pyloric gland-type and intestinal-type with different genetic mutations in the setting of autoimmune gastritis.

Weiwen Zhang, Jianing Hou, Chuqiang Huang, Lili Tao

Abstract readCase Reports
In one paragraph

Article in International journal of clinical and experimental pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Weiwen ZhangDepartment of Pathology, Peking University Shenzhen Hospital 1116 Lianhua Road, Futian District, Shenzhen 518000, Guangdong, P. R. China.
Jianing HouDepartment of Gastrointestinal Surgery, Peking University Shenzhen Hospital 1116 Lianhua Road, Futian District, Shenzhen 518000, Guangdong, P. R. China.
Chuqiang HuangDepartment of Pathology, Peking University Shenzhen Hospital 1116 Lianhua Road, Futian District, Shenzhen 518000, Guangdong, P. R. China.
Lili TaoDepartment of Pathology, Peking University Shenzhen Hospital 1116 Lianhua Road, Futian District, Shenzhen 518000, Guangdong, P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a 58-year-old female with no significant symptoms who was found to have two distinct gastric lesions during routine endoscopy: a 15 mm lesion in the fundus, diagnosed as gastric adenocarcinoma of pyloric gland mucosa-type (GA-PGM), and a 30 mm cauliflower-like mass in the gastric body, identified as well-differentiated tubular adenocarcinoma with gastrointestinal mixed type (GA-TAC), accompanied by multifocal neuroendocrine cell hyperplasia in the background of autoimmune gastritis (AIG). Molecular analysis revealed distinct genetic alterations between the two tumors despite arising within the same gastric background: GA-PGM harbored a KRAS p.Q61H mutation and MDM2 amplification, whereas GA-TAC showed a KRAS p.G12D mutation along with STK11 and additional alterations. This case reports the unusual coexistence of GA-PGM and GA-TAC in the setting of AIG, with the two lesions presenting distinct clinicopathologic and molecular characteristics. Our findings support the hypothesis that these two tumor subtypes originate from distinct metaplastic cell lineages through independent tumorigenic pathways, and add to the limited clinical evidence for the rare entity, GA-PGM.

Indexed as

autoimmune gastritisGastric adenocarcinomapyloric gland mucosa-type

Identifiers

PMID42729711
PMCPMC13563018

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.