PMC3023103_01
CT scan revealing growth in the stomach wall (white arrow) infiltrating into the pancreas (black arrow)
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F1
Chi 8 cm lump was noted in the epigastrium, which was firm, mobile and nontender. CT scan showed concentric thickening of the stomach wall in the region of the distal body and pylorus, along with multiple hypoechoic shadows in the liver parenchyma [Figure 1].
Gross appearance of the stomach showing a large ulcerative growth in the distal region, reaching almost up to the resected margin (marker)
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F2
There was a circumferential ulceroproliferative growth in the region of the body and antrum with maximum tumor diameter of 9 cm [Figure 2].
Section from the stomach showing well-differentiated adenocarcinoma with pools of mucin and floating small glands and signet ring cells. H and E, x100
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F3
Many signet ring cells were also seen [Figure 3].
High-power view of solid area showing dyscohesive cells with intracytoplasmic eosinophilic inclusions (arrows), eccentric nuclei and prominent nucleoli. H and E, x400
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F4
There was an adjacent area with tumor cells lying in solid sheets, with dyscohesive round-to-oval cells having moderate amount of eosinophilic cytoplasm, eccentric nuclei and prominent nucleoli [Figure 4].