The 3 images shown here are air contrast studies of the stomach from 3 different patients. The diagnosis is the same for all 3 patients. Can you make this diagnosis?
Soft-tissue case 26. diagnosis
Metastatic disease to the stomach is an unusual finding, accounting for less than 2% of patients who die of carcinoma.(f.1) Nevertheless, metastases to the stomach are encountered more frequently as combined treatment with surgery, radiotherapy and chemotherapy has led to prolonged survival. Metastases to the stomach are hematogenous, usually from malignant melanoma, carcinoma of the breast or carcinoma of the lung. Melanoma metastases usually present as discrete masses, which may be ulcerated (target lesion). Metastatic disease from carcinoma of the breast resembles "linitis plastica," and metastatic disease from lung usually presents in the form of discrete masses.(f.2)
These 3 patients all had metastatic disease to the stomach from breast, 1 as discrete masses (Fig. 1), 1 having the appearance of linitis plastica (Fig. 2) and the third having marked fold thickening in the gastric fundus resembling lymphoma (Fig. 3).
References
(f.1) Menuck LS, Amberg JR. Metastatic disease involving the stomach. Am J Dig Dis 1975;20:903-13.
(f.2) Gore RM, Levine MS, Laufer I. Textbook of gastrointestinal radiology. Vol 1. Philadelphia: WB Saunders; 1994. p. 684-716.
No comments:
Post a Comment