PMC7725578_01
Axial computed tomography image of the abdomen showing a thickened wall of the stomach at the body and pyloric end.
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A contrast-enhanced computed tomography (CECT) scan of the abdomen also showed thickening of the wall of the stomach at the body and pyloric end reaching up to the first part of the duodenum, and carcinoma of the stomach was suggested (Figure 1).
(a) Gross specimen of the stomach with multiple polypoidal lesions in the body with a normal-looking surrounding mucosa. (b) Cut section through polypoidal lesions showing mucosal thickening not extending beyond the submucosa.
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The mucosal surface showed multiple polypoidal lesions involving a 9 x 4 cm area at the body of the stomach (Figure 2(a)). On the cut section, the lesion was seen as thickened gray white and glistening mucosal infoldings which were not extending beyond the submucosa (Figure 2(b)).
Photomicrograph of the thickened gastric mucosa showing a corkscrew type of foveolar hyperplasia with elongation and tortuosity along with atrophy of the underlying gastric glands (H&E, x400).
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There was no evidence of atypia (Figure 3).