PERNICIOUS-ANEMIA AND ADENOCARCINOMA OF THE STOMACH IN AN ADOLESCENT - CLINICAL PRESENTATION AND HISTOPATHOLOGY

Primary gastric carcinoma accounts for only 0.05% of pediatric gastroi ntestinal malignancies, Although elderly patients who have pernicious anemia are at greater risk of the development of atrophic gastritis an d gastric carcinoma, pernicious anemia caused by vitamin B-12 deficien cy is extremely rare in otherwise healthy adolescents. The authors pre sent a 14.5-year-old boy who had dimorphic anemia caused by vitamin B- 12 and iron deficiencies in whom atrophic gastritis and gastric carcin oma developed, To the best of our knowledge, this association has not been previously reported in children or adolescents. Copyright (C) 199 7 by W.B. Saunders Company.