Metastatic gastric cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 65 years
Gender: Male
ct
This study is a stack
Axial native with
oral contrast
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

Marked increased wall thickness up to 26 mm due to tumoral infiltration is present at gastric lesser curvature accompanied by perigastric fat stranding and several regional lymphadenopathies with SAD less than 12 mm. There is no sign of local invasion to adjacent structures. 

Multiple ill-defined low enhancing masses are seen in the liver less than 20 mm. 

The prostate gland is enlarged.

Case Discussion

Gastric mass - pathology proven adenocarcinoma with regional lymphadenopathies and hepatic metastasis.

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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