Presentation
Abdominal pain and weight loss about 12kg during 6 months.
Patient Data
Increased wall thickness as tumoral infiltration at the gastric fundus and corpus; accompanied by surrounding fat stranding
Multiple perigastric, peripancreatic, para-aortic, and aortocaval lymphadenopathies with a maximum SAD of 30 mm
Necrotic hypodense conglomerated lymphadenopathies next to the SMA trunk just above the left renal vein
Left thyroid lobe large hypodense nodule with rim and internal calcifications and extension into the thoracic inlet
Renal cyst along with the right kidney midpole
Thoracolumbar spine degenerative changes as endplate sclerosis and marginal osteophyte formation
Case Discussion
Gastric mass; pathology proven case of gastric adenocarcinoma with regional, para-aortic, and aortocaval lymphadenopathies.