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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


64834-Afbeelding1.jpg
Abnormal stomach wall


64835-Afbeelding2.jpg
The stomach wall is massively thickened


64836-Afbeelding3.jpg
Detail of the stomach wall. The layers of the stomach wall can't be differentiated


64837-Afbeelding4.jpg
The thick wall is vascularized


64838-Afbeelding5.jpg
The retroperitoneal and mesenteric lymph nodes are also enlarged


64839-Afbeelding6.jpg
Another image of the retroperitoneal lymph nodes


64840-Afbeelding7.jpg
The mass in the neck is located next to the thyroid gland that is normal


64841-Afbeelding8.jpg
Detail of the mass


64842-Afbeelding9.jpg
Transverse image of the mass that shows vascularity


64843-Afbeelding10.jpg
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


64848-Afbeelding11.jpg
This is an image of the stomach of a 70 year old male


64849-Afbeelding12.jpg
There is a diffuse thickening of the stomach wall. The differentiation of the layers of the wall is gone. There is some ascites


64853-Afbeelding13.jpg
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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