Gastric adenocarcinoma

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Dyspepsia, epigastric pain, weight loss.

Patient Data

Age: 65 years
Gender: Male
ct

Diffuse circumferential gastric wall thickening (involving all parts of the stomach -cardia, fundus body, and antrum) with volume loss is noted. The wall thickness along the greater curvature at the gastric fundus measures 2 cm. No invasion of adjacent structures.
Marked ascites.
Subcentimetric prominent para-aortic lymph nodes are seen.

Case Discussion

Endoscopy reported friable prominent gastric rugae with ulceration and features of linitis plastica. 

​Histopathology reported gastric poorly differentiated adenocarcinoma with signet ring cell features. 

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