Gastric outlet obstruction due to carcinoma breast metastasis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

2 week history of nausea and vomiting, new onset epigastric pain worse with eating, relieved by leaning forward, hematemesis, lipase 203.

Patient Data

Age: 70 years
Gender: Female

Diffuse circumferential wall thickening of the gastric antrum/pylorus is noted resulting in luminal narrowing and dilatation of stomach. However, there is no evidence of adjacent organ invasion or concerning lymphadenopathy.

An irregular spiculated soft tissue lesion of right breast is noted.

Histology report

Photograph

Histology report confirms gastric antral metastasis from breast carcinoma.

Case Discussion

Histologically confirmed case of gastric antral metastasis from breast carcinoma causing gastric outlet obstruction.

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