PMC4327546_01
CT scan performed in February 2012, revealed a retroperitoneal mass.
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F1
An abdominal CT scan (February 2012) revealed a 10.5 x 9.5 x 8 cm heterogeneous solid mass localized adjacent to the pancreas tail involving the aortic and renal arteries (fig. 1).
Low-debit hemorrhage on the upper portion of the lesser curvature documented by endoscopy on November 27, 2012 between the endoscopic treatments.
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F2
However, one month later, the patient was again admitted to the Emergency Room due to new and persistent gastric bleeding unresponsive to endoscopic treatment (fig. 2) and required hemodynamic surveillance as well as intensive transfusion support.
HP identification (red circle) on gastric biopsy on December 7, 2012. Modified Giemsa staining. x900.
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F3
There was HP positivity in a low concentration (fig. 3), and malignancy was excluded.
Documentation of radiotherapy response between by comparing the 18F-FDG PET-CT scans from October 2012 (left panel) and July 2013 (right panel).
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F4
A good tumor response to treatment was noted upon an abdominal CT scan, and an 18F-FDG PET-CT scan detected minor metabolic expression suggesting an inflammatory pattern (fig. 4).