Gastric adenocarcinoma

Case contributed by Bahman Rasuli
Diagnosis certain


Abdominal pain and weight loss about 12kg during 6 months.

Patient Data

Age: 45 years
Gender: Male

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.

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