Signet-ring cell carcinoma of the stomach - a case of diagnostic dilemma

Inguinal lymphonodal metastases of an adenocarcinoma were diagnosed in a 40 -year-old patient by ultrasound guided puncture. The leading symptom was el ephantiasis preferentially of the right lower extremity. In addition, atypi cal myco bacteriosis was detected later on. The causal gastric cancer had n ot been identified during two years until the fourth gastroscopy assisted b y endoscopic ultrasonography revealed the lesion. No regional lymph node me tastases were found while distant metastases in terms of inguinal lymph nod es were already present.