Metastatic gastric carcinoma

Case contributed by Michael P Hartung , 19 Mar 2018
Diagnosis almost certain
Changed by Ian Bickle, 20 Mar 2018

Updates to Study Attributes

Findings was changed:

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

Gastrohepatic ligament adenopathy.

Numerous liver metastases. 

Updates to Freetext Attributes

Description was changed:

PREPROCEDURE DIAGNOSIS: Anemia.

POSTPROCEDURE DIAGNOSIS: Obvious malignancy in the antrum of the stomach.

Operation: EGD with biopsy.

Description: ... ThereThere was melenic fluid in the stomach. There was an obvious large malignancy in the antrum of the stomach which was photographed. The pylorus was identifiable and intubated. The first through third portions of the duodenum as well as the duodenal bulb were carefully inspected and felt to be normal. The scope was returned to the stomach. The fungating mass in the antrum was photographed and biopsied for histologic evaluation. There was a small amount of bleeding which seemed to spontaneously subside with the biopsy. Within the stomach, there were no other mucosal abnormalities, polyps, or masses identified or ulcers...

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