Gastric adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 50 years
Gender: Male
ct

Increased wall thickness due to tumoral infiltration is present at gastric cardia, sub cardia and proximal of lesser curvature; accompanied by mild adjacent fat stranding and several small regional lymphadenopathies.

A 25 mm simple cortical cyst is noted at right kidney. 
The prostate gland is enlarged.

Case Discussion

Pathology proven case of gastric adenocarcinoma with small regional lymphadenopathies. No local invasion; No detectable 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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