a case report of a gastric adenocarcinoma in a patient with ataxia-telangiectasia

the patient was a 22-year-old female with ataxia-telangiectasia presented with progressive dysphagia to solid food from 2 months ego. she had lost 17 kg in that period. physical findings were cachexia, telangiectasias of sclera, ataxia in limbs movements and epigastric tenderness.there was a tumoral lesion in gastric lesser curvature with extension to esophagogastric junction in endoscopy. pathologic report of biopsy was signet cell adenocarcinoma which confirmed by ihc. aortic involvement was detected in endoscopic ultrasonography and tumor was unresectable so we only inserted a metal stent for paliation.