Gastric cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 65 years
Gender: Female
ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

The right subclavian artery is arising from the arch of aorta directly posterior to the esophagus inferring aberrant right subclavian artery.

Increased wall thickness due to tumoral infiltration is present at gastric cardia and body accompanied by perigastric fat stranding and a few small regional lymphadenopathies. 

Case Discussion

Pathology proven gastric adenocarcinoma with small regional lymphadenopathies.

CT is currently the staging modality of choice because it can help identify the primary tumor, assess for the local spread, and detect nodal involvement and distant metastases.

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