{
  "abstract": "Goblet cell adenocarcinoma (GCA) is a rare appendiceal neoplasm that typically metastasizes to the peritoneum and pelvic organs, with no reported gastric involvement. We report a 72-year-old man with multiple comorbidities presenting with recurrent small bowel obstruction. Imaging revealed a cecal and a gastric mass; colonoscopy confirmed poorly differentiated right-sided adenocarcinoma. Surgical resection with intraoperative biopsies identified high-grade appendiceal GCA infiltrating the cecum, mesentery, and gastric wall. Immunohistochemical staining showed cytokeratin 7 negativity and cytokeratin 20 positivity, suggesting an appendiceal origin. Endoscopic ultrasound-guided fine-needle aspiration of the gastric lesion confirmed gastric metastasis, demonstrating identical morphology and immunoprofile, thus expanding the metastatic spectrum of GCA.",
  "abstract_shown": true,
  "affiliations": [
    "Baylor Scott & White All Saints Medical Center, Fort Worth, TX.",
    "Baylor Scott and White Digestive Diseases, Fort Worth, TX."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "A Gautam"
    },
    {
      "affs": [
        0
      ],
      "name": "M Jafferjee"
    },
    {
      "affs": [
        0
      ],
      "name": "K Nimmagadda"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "M Simien"
    },
    {
      "affs": [
        0
      ],
      "name": "M Cimo"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dg3vscbd0w3vr.bib",
  "cited_by": 0,
  "doi": "10.14309/crj.0000000000002347",
  "fulltext_url": "https://europepmc.org/articles/PMC13686751",
  "id": "dg3vscbd0w3vr",
  "issns": [
    "2326-3253"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910385",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Intraperitoneal and Appendiceal Malignancies"
    ]
  ],
  "openalex": "W7223106870",
  "pdf_url": "https://europepmc.org/articles/PMC13686751?pdf=render",
  "pmcid": "PMC13686751",
  "pmid": "42910385",
  "published": "2026-10-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/dg3vscbd0w3vr.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42910385",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910385"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Intraperitoneal and Appendiceal Malignancies",
      "subfield": "surgery"
    }
  ],
  "title": "Case of Appendiceal Goblet Cell Adenocarcinoma With Gastric Metastasis.",
  "title_text": "Case of Appendiceal Goblet Cell Adenocarcinoma With Gastric Metastasis.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/dg3vscbd0w3vr",
  "venue": "ACG case reports journal",
  "versions": []
}