Gastric Carcinoma

Ray Ballinger MD, PhD

Portland VA Medical Center

Abstract

58 y/o Asian female with history of epigastric pain.

Keywords

Gastric Carcinoma


Publication Date: 2007-06-18

History

58 y/o Asian female with history of epigastric pain.

   
   

Findings

The spot image from an UGI series shows a large ulcerated mass along the lesser curvature of the stomach. The CT images show similar findings with marked eccentric thickening of the gastric wall and ulceration.

Diagnosis

Gastric Carcinoma

Differential Diagnosis

Lymphoma, sarcoma, granulomatous disease such as sarcoid and Chrohn's disease.

Discussion

Gastric carcinoma has a higher incidence among Asian populations than western. It is associated with H. Pylori infection, high salt intake and smoking. Symptoms include epigastric pain, loss of appetite, weight loss and heme positive stool.