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Case of the Month

October 2015

Patient Data: 85 year old female patient

Clinical Info: vague abdominal pain and some weight loss


61129-Afbeelding1.jpg
Solid mass in relation to the stomach


61130-Afbeelding2.jpg
Another image of the mass


61131-Afbeelding3.jpg
The mass measures 3 x 4 cm.


61132-Afbeelding4.jpg
The rest of the stomach wall and pancreas are normal


61133-Mijn_Film_1.swf CT scan


61134-Mijn_Film_2.swf CT scan 2


61135-Mijn_Film_3.swf CT scan 3 There is a large polypoid lesion in the stomach that biopsy proved to be a malignant stomach carcinoma


61136-Afbeelding5.jpg
This is another lesion related to the stomach in a 70 year old male patient


61137-Afbeelding6.jpg
The lesion is moderately vascularized


61138-Afbeelding7.jpg
The lesion is partly solid and partly cystic


61139-Afbeelding8.jpg
The lesion is larger than the previous one and measures 6 cm. There is a calcification in the wall


61140-Afbeelding9.jpg
The underlying pancreas is normal


61141-Mijn_Film_1.swf CT 1


61142-Mijn_Film_2.swf CT 2


61143-Mijn_Film_3.swf CT 3 In this case the lesion proved to be a gastro intestinal stromal cell tumor (GIST)

Ultrasound is not the method of choice to examine the stomach, but this doesn't mean that stomach abnormalities can sometimes be picked up with ultrasound.Both rounded mass lesion are related to the stomach but are of a different nature one a polypoid stomach carcinoma and the other a GIST

For more examples of stomach wall lesions and gastro intestinal stromal cell tumors see

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