cases, stomach Week 198: Case 2 April 26, 2023 pathadmin 1. Presented by Ralph Hruban, M.D. and prepared by Maryam Farinola M.D.This patient in their early 40"s developed severe dyspepsia that did not respond to medical management. A gastrectomy was performed following biopsy. Of note, the patient had a family history of "abdominal" cancer. Metastatic lobular carcinoma of the breastSignet ring cell lymphomaSignet ring cell carcinomaPancreatic cancer 1. Presented by Ralph Hruban, M.D. and prepared by Maryam Farinola M.D.This patient in their early 40"s developed severe dyspepsia that did not respond to medical management. A gastrectomy was performed following biopsy. Of note, the patient had a family history of "abdominal" cancer.