Gastric cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 50 years
Gender: Female
ct
This study is a stack
Axial C+ portal
venous phase
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

Increased wall thickness is noted at gastric antrum accompanied by perigastric fat stranding and a few perigastric lymphadenopathies. The fat plane between thickened gastric segment and pancreas head is obliterated but there is no sign of pancreatic parenchymal infiltration.

Case Discussion

Pathology proven gastric adenocarcinoma.

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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