Man 63 yo with gastric ulcer being treated for a  long time but not getting better. 
Gastroendoscopy  found a crater ulcer of antrium  but  in 2 times of biopsy only chronic inflamation.
Ultrasound scanning in epigastris  detected antrium thickening of the wall  and hypoechoic (US 1).   
US 2 : many lymph nodes around antrium.  
US 3: CDI, vascular supply for antrum.
US 4: longitudinal scanning of antrum  is  thickening of  the gastric wall.
MSCT scanning of abdomen.
CT 1= crossed section of   antrum with the mass.
CT 2 = scanning with position rotation of antrum showed stenosis.
Radiologist and sonologist diagnostics were gastric cancer.
Operation of gastrectomy.
Specimen 1= antrum tumors.  
Specimen 2 =
Opening of gastric lumen there wered 2 lesions at antrum and body of stomach.
Microscopic report with immuno-histo chemistry  staining is B cell lymphoma  of antrum and infiltrated lymph nodes.










No comments:
Post a Comment