PMC3590497_01
CT scan showing the lesion affecting stomach and with invasion of the left hepatic lobe and the pancreas.
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The computed tomography (CT scan) revealed a large abdominal tumor affecting the excluded stomach and with signs of invasion of the left hepatic lobe and the pancreas (Figure 1).
Surgical specimen.
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The patient underwent total gastrectomy, including the excluded stomach, distal pancreatectomy and splenectomy, left hepatectomy and segmental colectomy with Roux-en-Y esophagojejunal anastomosis, and primary colocolic anastomosis because there was true carcinomatosis invasion of adjacent organs (Figures 2 and 3).
Detail of the tumor: gastric pouch and bypassed stomach sectioned.
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The patient underwent total gastrectomy, including the excluded stomach, distal pancreatectomy and splenectomy, left hepatectomy and segmental colectomy with Roux-en-Y esophagojejunal anastomosis, and primary colocolic anastomosis because there was true carcinomatosis invasion of adjacent organs (Figures 2 and 3).
PET-CT showed peritoneal carcinomatosis in coronal reconstruction.
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PET-CT showed peritoneal carcinomatosis (Figures 4 and 5). Palliative chemotherapy was again introduced.
Peritoneal lesions with high SUV on PET-CT.
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PET-CT showed peritoneal carcinomatosis (Figures 4 and 5). Palliative chemotherapy was again introduced.