This is the third most common GI malignancy and is more common in Japan. The risk of gastric cancer is increased with pernicious anaemia, a...
This is the third most common GI malignancy and is more common in Japan. The risk of gastric cancer is increased with pernicious anaemia, adenomatous polyps, chronic atrophic gastritis and after Bilroth II surgery.
CT
• Early features are an irregular, flat and non-healing ulcer.
• 40% found in the fundus and cardia; atrum and gastric body 30% each.
• Stomach wall >1 cm thick is abnormal in a distended stomach.
• Large, irregular mass ± ulceration in advanced disease.
• Linitis plastica (diffuse infiltration of the stomach leading to fibrosis and a narrowed/rigid stomach).
• Local nodes that enlarge are found in the gastrohepatic ligament, gastrocolic ligament and around the stomach.
• Liver metastases are most common.
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