PMC6261075_01
CT scan series with a radiocontrast agent showing a mass in the level of the stomach fundus invading the surrounding fatty tissue between the liver and the stomach without any liver metastasis. (a), (b) Axial sections of the abdomen. (c) Coronal section of the chest and the abdomen.
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fig1
CT studies supported these findings by determining a large gastric mass in the level of the fundus sized 8 cm in greatest diameter, which invaded the surrounding abdominal structure (the abdominal aorta, epigastric, and hilar lymph nodes) (see Figure 1).
Histologic examination of the resected specimens with hematoxylin and eosin revealing moderately differentiated adenocarcinoma. (a) From the stomach (magnification x40), it shows the hypercellularity with basophilic, oligocytoplasmic, and pleomorphic cells and relatively large nuclei with dense chromatin and loose desmoplastic stroma which contains lymphocytic and plasmocytic infiltration. (b) From the resected lymph nodes (magnification x10), it shows the islets of metastatic infiltration of the tumor cells into the nodes; moderate. (c) From the omentum (magnification x10), it shows the metastatic infiltrative cells forming multisized islets.
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fig2
Pathology studies reported a moderately differentiated adenocarcinoma of the stomach grade II with lymph node metastasis and peritoneal carcinomatosis (see Figure 2).