Gastric adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia

Patient Data

Age: 50 years
Gender: Female
ct

Increased wall thickness due to tumoral infiltration is present at gastric cardia and proximal of lesser curvature accompanied by a few small regional lymphadenopathies. Mild abdominopelvic ascites with omental thickening also evident. 

An IUCD is present within the uterine cavity in appropriate location.

Case Discussion

Gastric mass (pathology proven adenocarcinoma) with regional lymphadenopathies; ascites and peritoneal seeding.

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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