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Gastric adenocarcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 70 years
Gender: Female
CT

Increased wall thickness suggestive of tumoral infiltration is present at gastric body, accompanied by surrounding fat stranding and several small regional lymphadenopathies. There is no sign of local invasion to adjacent structures.
Several simple cortical cysts are seen at both kidneys less than 20mm. 
Mild degenerative changes as osteophytosis are seen at the lumbar spine.

CT

Post surgical control CT scan after 15 months

Post-operative changes are seen due to total gastrectomy and esophagojejunostomy. 
A few non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 18mm. 
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Path proven gastric adenocarcinoma which is an aggressive tumor with a 5-year survival rate of less than 20%. Prognosis is correlated to the stage of the tumor at presentation and surgical resection is the treatment for localized disease.

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Case information

rID: 85230
Published: 20th Dec 2020
Last edited: 20th Dec 2020
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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