Metastatic gastric cancer

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Work up for abdominal pain and dyspepsia, vomiting, and recent weight loss.

Patient Data

Age: 60 years
Gender: Male
CT

Increased wall thickness due to tumoral infiltration is present at the gastric cardia, subcardia, and proximal of the lesser curvature.

Multiple enlarged lymph nodes are seen in perigastric, paraceliac, porta hepatis, and para aortic regions with an axial diametre of less than 20 mm.

Additionally, numerous ill defined low enhancing masses in the liver less than 100 mm in diameters, accompanied by some perihepatic fluid.

A few nonenhanced simple cortical cysts are seen in both kidneys.

The prostate gland is enlarged. 

A small amount of free fluid is present in the pelvis. In addition, in imaged portions o the lower thorax, a small amount of pleural effusion is present on the right side.

Case Discussion

Gastric mass pathology proved adenocarcinoma, with regional and metastatic enlarged lymph nodes, diffuse hepatic metastasis, and mild ascites

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