Metastatic gastric carcinoma

Case contributed by Michael P. Hartung
Diagnosis almost certain

Presentation

Painless melena.

Patient Data

Age: 80
Gender: Male
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Partially circumferential irregular mass of the gastric antrum. Adjacent stranding and adenopathy extending into the mesentery.

Gastrohepatic ligament adenopathy.

Numerous liver metastases. 

Case Discussion

Gastric adenocarcinoma is the most common primary gastric malignancy. It often presents with advanced disease due to producing few early symptoms (as in this case, where the patient had painless anemia). It is an aggressive tumor with poor prognosis. 

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