Presentation
Abdominal pain, dyspepsia and weight loss.
Patient Data
Marked increased wall thickness up to 30 mm due to tumoral infiltration is present at gastric cardia and lesser curvature accompanied by perigastric fat stranding and several regional lymphadenopathies with a maximum SAD of 11 mm. There is no sign of local invasion of adjacent structures.
Multiple ill-defined low-enhancing masses are seen in the liver with a maximum diameter of 25 mm.
Case Discussion
Pathology proved a case of gastric adenocarcinoma with regional lymphadenopathies and hepatic metastasis. CT scan is currently the staging modality of choice because it can help identify the primary tumor, assess for the local spread, and detect nodal involvement and distant metastases.
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