Presentation
Asian female with history of epigastric pain.
Patient Data
Age: 60 years
Gender: Female
From the case:
Gastric carcinoma
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This spot image from an upper GI series shows a large ulcerated mass along the lesser curvature of the stomach.
From the case:
Gastric carcinoma
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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 heme-positive stool.
Differential diagnosis:
- lymphoma
- sarcoma
- granulomatous disease e.g. sarcoid and Crohn disease
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