Gastric antropyloric adenocarcinoma

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Abdominal pain, dyspepsia, decreased appetite, bloating, epigastric fullness, nausea, and intermittent vomiting for one month.

Patient Data

Age: 60 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Sagittal
C+ delayed
This study is a stack
Coronal C+
delayed
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Info

Asymmetrically and circumferentially increased wall thickening with thickness up to 15-18 mm in the gastric antro-pyloric segment with partial gastric outlet obstruction and pronounced gastric distention upstream containing fluid and food residues are seen. There is no gross evidence of perigastric fat extension of the lesion. No significant lymph nodes and no solid organ metastasis are seen.

Both kidneys have decreased size, irregular margin, and multiple small parapelvic cysts with an impression on the adjacent pyelocaliceal system. Two calculi up to 3-4 mm in the left kidney and small dense calculus up to 4 mm in the gallbladder body lumen are seen. Pronounced DJD change and scoliosis in the spine are also noted.

Pathology report

Photograph
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Info

The pathology report of endoscopic gastric antrum biopsy is intestinal-type Gastric adenocarcinoma.

Case Discussion

The case illustrates pathology-proved non-metastatic gastric adenocarcinoma located within the gastric antro-pyloric segment which has led to partial gastric outlet obstruction and pronounced gastric distention upstream.

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