Metastatic gastric adenocarcinoma

Case contributed by Mohammadtaghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 65 years
Gender: Male

Increased wall thickness due to tumoral infiltration is present at the gastric cardia, subcardia, and body.

Several abnormal lymph nodes are noted at perigastric, para-aortic, and mesenteric regions with short axis diameter less than 13 mm. 

A few low enhancing masses are seen at the liver less than 20 mm. 

Several nodules are present in both lungs less than 10 mm. 

Several mediastinal and both hilar abnormal lymph nodes are seen with short axis diameter less than 18 mm. 

A little amount of pleural effusion is present at the left hemithorax. 

Abdominopelvic ascites are evident. 

The prostate gland is enlarged.

Case Discussion

Gastric cancer; pathology proved adenocarcinoma, with regional, mesenteric and para-aortic lymphadenopathy; hepatic and pulmonary metastasis; ascites, and left sided pleural effusion.

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