Gastric carcinoma "linitis plastica" and peritoneal carcinomatosis

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Abdominal pain, dyspepsia, anorexia, loss of weight and abdominal distension.

Patient Data

Age: 60 years old
Gender: Female

Omental soft tissue mass lesion is seen with heterogeneous enhancement as well as peritoneal masses seen abutting the anterior abdominal wall.

Malignant rather dense ascites; predominately peri-hepatic and peri-splenic.

The stomach is seen of diffusely thickened wall with marked reduction of its capacity. Small peri-gastric lymph nodes are seen.

Mild fatty hepatomegaly with no definite focal hepatic lesion.

Mild splenomegaly, no definite focal lesion.

Normal pancreas.

Bilateral small renal stones with the largest is left renal lower calyceal = 13 mm. No renal masses or hydronephrosis.

No significantly enlarged para-aortic or pelvic lymph nodes.

Normal uterus.

No adnexal cystic or solid mass lesions.

No definite colonic masses.

Case Discussion

Diffuse gastric carcinoma (linitis plastica) and peritoneal carcinomatosis, omental deposits (cakes) with malignant ascites.

Bilateral renal stones are incidentally noted.

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Case information

rID: 23470
Case created: 18th Jun 2013
Last edited: 25th Feb 2016
Inclusion in quiz mode: Included

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