摘要: RACIONAL: A agregacao familiar do câncer gastrico e um dos indicios envolvimento de fatores geneticos da hereditariedade na genese desta doenca. Os pacientes com difuso sao frequentemente mais jovens o tumor apresenta caracteristica infiltrativa local. observacao alta incidencia permitiu identificar gene CDH1/E-caderina envolvido O tipo definido como a familia que apresente dois parentes primeiro grau deles menos 50 anos idade ou pelo tres independentemente idade. DESCRICAO DO CASO: apresentada nao se enquadra classificacao proposta, entretanto precisa identificacao destas familias pode necessitar outros parâmetros clinicos moleculares. caso aqui apresentado exemplo acometida por provavel forma hereditaria totalmente compreendido. CONCLUSAO: E em breve haja modificacoes nos criterios possivelmente incluindo as caracteristicas geneticas moleculares sua definicao.

参考文章(19)
M. E. Bracke, F. M. Van Roy, M. M. Mareel, The E-cadherin/Catenin Complex in Invasion and Metastasis Attempts to Understand Metastasis Formation I. ,vol. 213, pp. 123- 161 ,(1996) , 10.1007/978-3-642-61107-0_9
Parry Guilford, Justin Hopkins, James Harraway, Maybelle McLeod, Ngahiraka McLeod, Pauline Harawira, Huriana Taite, Robin Scoular, Andrew Miller, Anthony E. Reeve, E-cadherin germline mutations in familial gastric cancer Nature. ,vol. 392, pp. 402- 405 ,(1998) , 10.1038/32918
CHRISTOPHER P. HOWSON, TOMOHIKO HIYAMA, ERNST L. WYNDER, THE DECLINE IN GASTRIC CANCER: EPIDEMIOLOGY OF AN UNPLANNED TRIUMPH Epidemiologic Reviews. ,vol. 8, pp. 1- 27 ,(1986) , 10.1093/OXFORDJOURNALS.EPIREV.A036288
Geert Berx, Karl-Friedrich Becker, Heinz Höfler, Frans van Roy, Mutations of the human E‐cadherin (CDH1) gene Human Mutation. ,vol. 12, pp. 226- 237 ,(1998) , 10.1002/(SICI)1098-1004(1998)12:4<226::AID-HUMU2>3.0.CO;2-D
Gianni Zanghieri, Carmela Di Gregorio, Carla Sacchetti, Rossella Fante, Romano Sassatelli, Giacomo Cannizzo, Alfonso Carriero, Maurizio Ponz De Leon, Familial occurrence of gastric cancer in the 2-year experience of a population-based registry Cancer. ,vol. 66, pp. 2047- 2051 ,(1990) , 10.1002/1097-0142(19901101)66:9<2047::AID-CNCR2820660934>3.0.CO;2-G
M Takeichi, Cadherin cell adhesion receptors as a morphogenetic regulator Science. ,vol. 251, pp. 1451- 1455 ,(1991) , 10.1126/SCIENCE.2006419
D Forman, D G Newell, F Fullerton, J W Yarnell, A R Stacey, N Wald, F Sitas, Association between infection with Helicobacter pylori and risk of gastric cancer: evidence from a prospective investigation. BMJ. ,vol. 302, pp. 1302- 1305 ,(1991) , 10.1136/BMJ.302.6788.1302
Geert Berx, Katrien Staes, Jolanda van Hengel, Francis Molemans, Marion J.G. Bussemakers, Adrie van Bokhoven, Frans van Roy, Cloning and characterization of the human invasion suppressor gene E-cadherin (CDH1) Genomics. ,vol. 26, pp. 281- 289 ,(1995) , 10.1016/0888-7543(95)80212-5
CB Vos, AM Cleton-Jansen, G Berx, WJF de Leeuw, NT ter Haar, F van Roy, CJ Cornelisse, JL Peterse, MJ van de Vijver, E-cadherin inactivation in lobular carcinoma in situ of the breast: an early event in tumorigenesis British Journal of Cancer. ,vol. 76, pp. 1131- 1133 ,(1997) , 10.1038/BJC.1997.523