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Saturday 18 April 2020

CASE 583: ANTRUM Linitis Plastica, Dr PHAN THANH HẢI, Dr LẬP, Prof LÊ QUANG NGHĨA, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Man 38yo, nurse, could not eat, lost 13 kg for 3 months.

With 3 times of gastroendoscopy and biopsy  he was treated as gastritis with Hp-positive  (see gastro endoscopy and biopsy result) at Medic HCMC  





His report of abdominal ultrasound examination pointed out antral thickening like a black ring (see US1 crossed- section; US 2 longitudinal scanning).





MSCT CE report: gastritis with antral thickeking (see CT-scan). 




At Medic blood tests CEA, CA 72-4, CA 19-9 are all normal. 

Abdominal x-rays with barium showed typical Linitis Plastica of the antrum. 




This patient was admitted to Binh Dan hospital emergency department to undergo endoscopic US which revealed antral thickening more than 2 cm.   



Total gastrectomy and replacement by small intestine were performed (see macro: TOTAL GASTRECTOMY)



Microscopic report post op is Adenocarcinoma that invaded to intramuscular wall and going  metastasis to lymph nodes.