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Case of the Month

April 2016

Patient Data: 80 year old female

Clinical Info: Cachexia and a mass in the neck and in the abdomen

Abnormal stomach wall

The stomach wall is massively thickened

Detail of the stomach wall. The layers of the stomach wall can't be differentiated

The thick wall is vascularized

The retroperitoneal and mesenteric lymph nodes are also enlarged

Another image of the retroperitoneal lymph nodes

The mass in the neck is located next to the thyroid gland that is normal

Detail of the mass

Transverse image of the mass that shows vascularity

Longitudinal image of the mass in the neck

64844-Mijn_Film_1.swf CT of the abdomen

64845-Mijn_Film_2.swf Coronal CT of the abdomen

64846-Mijn_Film_4.swf CT of the neck

64847-Mijn_Film_5.swf Coronal CT of the neck

This is an image of the stomach of a 70 year old male

There is a diffuse thickening of the stomach wall. The differentiation of the layers of the wall is gone. There is some ascites

The stomach at another level

64851-Mijn_Film_1.swf CT of the abdomen

64852-Mijn_Film_2.swf Coronal CT of the abdomen

Both patients had stomach malignancies. The first patient had a Mantel cell lymphoma with lymphomatous masses not only in the stomach, but also of the abdominal lymph nodes and in the neck. The second patient had a diffuse stomach carcinoma also called linitis plastica

For more stomach malignancies and other pathology see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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