Gastric carcinoma

Case contributed by Dr J. Ray Ballinger

Presentation

Asian female with history of epigastric pain.

Patient Data

Age: 60 years
Gender: Female
Fluoroscopy

This spot image from an upper GI series shows a large ulcerated mass along the lesser curvature of the stomach. 

CT

The CT images show similar findings with marked eccentric thickening of the gastric wall and ulceration.

Case Discussion

Diagnosis was confirmed as gastric carcinoma.

Gastric carcinoma has a higher incidence among Asian populations than Western. It is associated with H. pylori infection, high salt intake and smoking. Symptoms include epigastric pain, loss of appetite, weight loss and haem-positive stool.

Differential diagnosis: 

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Case information

rID: 23685
Published: 2nd Jul 2013
Last edited: 25th Mar 2018
Inclusion in quiz mode: Included

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