PMC4408681_01
Contrast-enhanced computed tomography scan of the abdomen showing a diffuse circumferential thickening of the distal pyloric antrum of the stomach with a few ulcerative areas
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F1
CT scan of abdomen revealed a diffuse circumferential thickening involving the distal pyloric antrum of the stomach with a few superficial ulcerative areas [Figure 1] along with multiple hypodense enhancing hepatic lesions.
A panel of microphotographs; (a) a cluster of atypical cells along with organisms present in tetrads and octads conforming to the morphology of Sarcina (H and E, x100); (b) A small cluster of atypical epithelial cells; inset : Sarcina in tetrads and octads (H and E, x100); (c) biopsy showing the organism Sarcina (H and E, x40); (d) biopsy showing the presence of tumor cells in the lamina propria (H and E, x40)
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F2
The aspiration smears were paucicellular and showed few scattered atypical cells along with organisms present in tetrads and octads conforming to the morphology of Sarcina [Figure 2a and b]. The biopsy also demonstrated Sarcina, primarily on the luminal mucosal surface epithelium [Figure 2c and d].