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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

Solid mass in relation to the stomach

Another image of the mass

The mass measures 3 x 4 cm.

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

This is another lesion related to the stomach in a 70 year old male patient

The lesion is moderately vascularized

The lesion is partly solid and partly cystic

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

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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