PMC3934810_01
Computer tomography image of metastatic lesions in the liver (a, b).
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F1
Abdomen computer tomography scans showed multiple nodules in the liver, suspected to be metastatic lesions, portal vein thrombosis, multiple adenopathies along the lesser curvature of the stomach, the mesenteric root and the lombo-aortic region as well as a thickening of the gastric lesser curvature wall (fig. 1 a, b).
Esophagogastroduodenoscopy image of a bleeding gastric ulcer (see arrow).
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F2
An esophagogastroduodenoscopy showed a 4 cm ulcer on the lesser curvature of the stomach (fig. 2).
Histologic evaluation of the hepatic biopsy.
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F3
Immunohistochemical findings showed a positivity for CAM 5.2, CDX 2 CK 20 and a negativity for CD10, TTF1, sinaptophysin and chromogranin A, therefore supporting a diagnosis of metastasis of gastric adenocarcinoma (fig. 3).