Gastric carcinoma

Case contributed by Dr J. Ray Ballinger

Presentation

Asian female with history of epigastric pain.

Patient Data

Age: 58 years
Gender: Female
Fluoroscopy

The spot image from an UGI 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

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 heme positive stool.

Differential diagnosis: Lymphoma, sarcoma, granulomatous disease such as sarcoid and Chrohn's disease

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Case information

rID: 23685
Case created: 2nd Jul 2013
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

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