Linitis plastica

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain and dyspepsia.

Patient Data

Age: 55 years
Gender: Female
ct

Diffusely increased wall thickness suggests tumoral infiltration at the stomach accompanied by perigastric fat stranding and several regional enlarged lymph nodes.

Case Discussion

Pathology proved gastric adenocarcinoma (signet ring type) causing linitis plastica.

On cross-sectional images of linitis plastica, the stomach is diffusely thickened with a small lumen. Gastric adenocarcinoma (signet ring type), lung and breast cancer metastasis, and lymphoma are on top of the differential list for linitis plastica.

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