# Linitis Plastica in a Patient With a BRCA2 Mutation: A Case Report

**Authors:** Selina Park, Edward Cao, Surabhi Amar

PMC · DOI: 10.7759/cureus.102423 · Cureus · 2026-01-27

## TL;DR

A patient with a BRCA2 mutation developed a rare type of gastric cancer called linitis plastica, suggesting a possible link between BRCA2 mutations and gastric cancer.

## Contribution

This case report presents a rare instance of linitis plastica in a BRCA2 mutation carrier, highlighting a potential but understudied connection.

## Key findings

- A patient with a BRCA2 mutation was diagnosed with linitis plastica, a diffuse form of gastric cancer.
- The case suggests a possible association between BRCA2 mutations and gastric cancer that warrants further investigation.

## Abstract

BRCA2 pathogenic mutations are well-established risk factors for breast, ovarian, prostate, and pancreatic cancers. However, the relationship between BRCA2 mutations and gastric cancer (GC) remains understudied. This case involves a patient with a pathogenic BRCA2 mutation diagnosed with linitis plastica, a diffuse form of GC characterized by stiffening of the gastric lining, akin to a “leather bottle.” This case highlights the importance of further research to elucidate the connection between GC and BRCA2 mutations, which may lead to expanded surveillance guidelines for affected individuals. Clinicians should consider the potential elevated risk of GC in patients with BRCA2 mutations.

## Linked entities

- **Genes:** BRCA2 (BRCA2 DNA repair associated) [NCBI Gene 675]
- **Diseases:** gastric cancer (MONDO:0001056), linitis plastica (MONDO:0018184)

## Full-text entities

- **Genes:** MLH1 (mutL homolog 1) [NCBI Gene 4292] {aka COCA2, FCC2, HNPCC, HNPCC2, LYNCH2, MLH-1}, MSH2 (mutS homolog 2) [NCBI Gene 4436] {aka COCA1, FCC1, HNPCC, HNPCC1, LCFS2, LYNCH1}, ARID1A (AT-rich interaction domain 1A) [NCBI Gene 8289] {aka B120, BAF250, BAF250a, BM029, C1orf4, CSS2}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, PTEN (phosphatase and tensin homolog) [NCBI Gene 5728] {aka 10q23del, BZS, CWS1, DEC, GLM2, MHAM}, SMAD4 (SMAD family member 4) [NCBI Gene 4089] {aka DPC4, JIP, MADH4, MYHRS}, STK11 (serine/threonine kinase 11) [NCBI Gene 6794] {aka LKB1, PJS, hLKB1}, PARP1 (poly(ADP-ribose) polymerase 1) [NCBI Gene 142] {aka ADPRT, ADPRT 1, ADPRT1, ARTD1, PARP, PARP-1}, RAD51 (RAD51 recombinase) [NCBI Gene 5888] {aka BRCC5, FANCR, HRAD51, HsRad51, HsT16930, MRMV2}, APC (APC regulator of Wnt signaling pathway) [NCBI Gene 324] {aka BTPS2, DESMD, DP2, DP2.5, DP3, GS}, BRCA2 (BRCA2 DNA repair associated) [NCBI Gene 675] {aka BRCC2, BROVCA2, FACD, FAD, FAD1, FANCD}, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) [NCBI Gene 5290] {aka CCM4, CLAPO, CLOVE, CWS5, HMH, MCAP}, MUC6 (mucin 6, oligomeric mucus/gel-forming (gene/pseudogene)) [NCBI Gene 4588] {aka MUC-6}, BRCA1 (BRCA1 DNA repair associated) [NCBI Gene 672] {aka BRCAI, BRCC1, BROVCA1, FANCS, IRIS, PNCA4}, CDH1 (cadherin 1) [NCBI Gene 999] {aka Arc-1, BCDS1, CD324, CDHE, ECAD, LCAM}, ERBB3 (erb-b2 receptor tyrosine kinase 3) [NCBI Gene 2065] {aka ErbB-3, FERLK, HER3, LCCS2, MDA-BF-1, VSCN1}, KRAS (KRAS proto-oncogene, GTPase) [NCBI Gene 3845] {aka 'C-K-RAS, C-K-RAS, CFC2, K-RAS2A, K-RAS2B, K-RAS4A}
- **Diseases:** homologous recombination deficiency (MESH:C535296), pyloric stenosis (MESH:D011707), nausea (MESH:D009325), GC (MESH:D013274), lymphadenopathy (MESH:D008206), Lynch syndrome (MESH:D003123), vomiting (MESH:D014839), renal cancer (MESH:D007680), LP (MESH:D008039), hereditary (MESH:D009386), epigastric pain (MESH:D010146), fibrosis (MESH:D005355), gastrointestinal symptoms (MESH:D012817), GERD (MESH:D005764), acute pancreatitis (MESH:D010195), homologous (MESH:D006086), abdominal pain (MESH:D015746), Cancer (MESH:D009369), adenocarcinoma (MESH:D000230), peritoneal carcinomatosis (MESH:D010534), acute cholecystitis (MESH:D041881), juvenile polyposis syndrome (MESH:C537702), breast, ovarian, prostate, and pancreatic cancers (MESH:D010051), Peutz-Jeghers syndrome (MESH:D010580), abdominal bloating (MESH:D000007), dyspepsia (MESH:D004415), cholelithiasis (MESH:D002769), colon cancer (MESH:D015179), nutritional instability (MESH:D044342), ascites (MESH:D001201)
- **Chemicals:** 5-fluorouracil, leucovorin, oxaliplatin, and docetaxel (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Mutations:** C275G

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12945401/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC12945401/full.md

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Source: https://tomesphere.com/paper/PMC12945401