Gastric cancer

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 70 years
Gender: Male
CT

Marked increased wall thickness due to tumoral infiltration is present at esophagogastric junction, gastric cardia and body accompanied by adjacent fat stranding.
Multiple lymphadenopathies with SAD less than 20 mm are noted in the vicinity of diseased segment. There is no sign of local invasion to adjacent structures. 

A 70 mm simple cortical cyst is present at left kidney.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the thoracolumbar spine.
Grade I spondylolisthesis of L5 on S1 is present with bilateral spondylolysis.

Case Discussion

Patient underwent total gastrectomy and esophagojejunostomy.

PATHOLOGY REPORT:
Adenocarcinoma, intestinal type, poorly differentiated.
ICD diagnosis code:M140/3  C16.9

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Case information

rID: 87755
Published: 16th Mar 2021
Last edited: 16th Mar 2021
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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