Presentation
Dyspepsia, epigastric pain, weight loss.
Patient Data
Age: 65 years
Gender: Male
From the case:
Gastric adenocarcinoma
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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.