Gastric mucinous adenocarcinoma

Case contributed by Dr Ammar Haouimi

Presentation

Epigastric pain with weight loss

Patient Data

Age: 40 years
Gender: Female

Diffuse circumferential thickening of the gastric wall extending from the cardia to the antrum, hypodense with no significant enhancement, containing multiple punctate calcifications with partial obliteration of the mucus layer. There is a perigastric fat infiltration with associated ascites (mixed gelatinous/fluid on ultrasound).

Note a small cortical nodule of the left kidney of fatty density (most likely angiomyolipoma)

Chest CT was unremarkable 

Case Discussion

CT features characteristic of mucinous adenocarcinoma of the stomach with most likely pseudomyxoma peritonei.

Gastric mucinous adenocarcinoma is considered as a rare histological subtype of gastric cancer. The extensive thickening of the gastric wall and multiple punctate intratumoral calcifications are the main characteristic features of this tumor.

 

Additional contributor: A Ramdani MD, Aurès Medical Imaging Center, Batna, Algeria

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Case information

rID: 65357
Published: 6th Jan 2019
Last edited: 7th Jan 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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