eMedicine Specialties > Radiology > Gastrointestinal

Gastric Carcinoma: Multimedia

Author: Isaac Hassan, MB, ChB, FRCR, DMRD, Former Senior Consultant Radiologist, Department of Radiology, St Bernard's Hospital, Gibraltar
Contributor Information and Disclosures

Updated: Feb 26, 2009

Multimedia

Atrophic gastritis.Media file 1: Atrophic gastritis.
Atrophic gastritis.

Atrophic gastritis.

Polypoid carcinoma of the body of the stomach.Media file 2: Polypoid carcinoma of the body of the stomach.
Polypoid carcinoma of the body of the stomach.

Polypoid carcinoma of the body of the stomach.

Gastric ulcer with symmetrical, radiating mucosal...Media file 3: Gastric ulcer with symmetrical, radiating mucosal folds. At histologic evaluation, no evidence of malignancy was observed.
Gastric ulcer with symmetrical, radiating mucosal...

Gastric ulcer with symmetrical, radiating mucosal folds. At histologic evaluation, no evidence of malignancy was observed.

Infiltrating carcinoma involving the greater curv...Media file 4: Infiltrating carcinoma involving the greater curve of the stomach.
Infiltrating carcinoma involving the greater curv...

Infiltrating carcinoma involving the greater curve of the stomach.

Linitis plastica.Media file 5: Linitis plastica.
Linitis plastica.

Linitis plastica.

Extensive carcinoma involving the cardia and fund...Media file 6: Extensive carcinoma involving the cardia and fundus.
Extensive carcinoma involving the cardia and fund...

Extensive carcinoma involving the cardia and fundus.

Carcinoma of the cardia with involvement of the d...Media file 7: Carcinoma of the cardia with involvement of the distal esophagus (same patient as in Image 6).
Carcinoma of the cardia with involvement of the d...

Carcinoma of the cardia with involvement of the distal esophagus (same patient as in Image 6).

Secondary or pseudoachalasia due to infiltrating ...Media file 8: Secondary or pseudoachalasia due to infiltrating carcinoma of the cardia.
Secondary or pseudoachalasia due to infiltrating ...

Secondary or pseudoachalasia due to infiltrating carcinoma of the cardia.

Note malignant infiltration of the cardia (same p...Media file 9: Note malignant infiltration of the cardia (same patient as in Image above).
Note malignant infiltration of the cardia (same p...

Note malignant infiltration of the cardia (same patient as in Image above).

The stomach is distended by using water as a nega...Media file 10: The stomach is distended by using water as a negative intraluminal contrast agent. Results of this examination are normal.
The stomach is distended by using water as a nega...

The stomach is distended by using water as a negative intraluminal contrast agent. Results of this examination are normal.

Carcinoma of the lesser curve. Note the focal mur...Media file 11: Carcinoma of the lesser curve. Note the focal mural thickening due to a tumor plaque.
Carcinoma of the lesser curve. Note the focal mur...

Carcinoma of the lesser curve. Note the focal mural thickening due to a tumor plaque.

Carcinoma of the cardia. Note the liver metastasi...Media file 12: Carcinoma of the cardia. Note the liver metastasis.
Carcinoma of the cardia. Note the liver metastasi...

Carcinoma of the cardia. Note the liver metastasis.

Tumor extension to the distal esophagus (same pat...Media file 13: Tumor extension to the distal esophagus (same patient as in Image above).
Tumor extension to the distal esophagus (same pat...

Tumor extension to the distal esophagus (same patient as in Image above).

Carcinoma of the antrum. Note the circumferential...Media file 14: Carcinoma of the antrum. Note the circumferential mural thickening.
Carcinoma of the antrum. Note the circumferential...

Carcinoma of the antrum. Note the circumferential mural thickening.

Celiac-axis nodes measure 8-12 mm and are from ca...Media file 15: Celiac-axis nodes measure 8-12 mm and are from carcinoma of the cardia. Note the irregular liver metastasis and adjacent rounded cyst.
Celiac-axis nodes measure 8-12 mm and are from ca...

Celiac-axis nodes measure 8-12 mm and are from carcinoma of the cardia. Note the irregular liver metastasis and adjacent rounded cyst.

Carcinoma of the body of the stomach associated w...Media file 16: Carcinoma of the body of the stomach associated with regional lymphadenopathy and ascites.
Carcinoma of the body of the stomach associated w...

Carcinoma of the body of the stomach associated with regional lymphadenopathy and ascites.

Enlarged porta hepatis lymph nodes, ascites, and ...Media file 17: Enlarged porta hepatis lymph nodes, ascites, and omental involvement (same patient as in Image 16).
Enlarged porta hepatis lymph nodes, ascites, and ...

Enlarged porta hepatis lymph nodes, ascites, and omental involvement (same patient as in Image 16).

Extensive mesenteric, omental, and peritoneal met...Media file 18: Extensive mesenteric, omental, and peritoneal metastases (same patient as in Image above).
Extensive mesenteric, omental, and peritoneal met...

Extensive mesenteric, omental, and peritoneal metastases (same patient as in Image above).

Pulmonary metastases and left pleural effusion fr...Media file 19: Pulmonary metastases and left pleural effusion from a gastric carcinoma.
Pulmonary metastases and left pleural effusion fr...

Pulmonary metastases and left pleural effusion from a gastric carcinoma.

More on Gastric Carcinoma

Overview: Gastric Carcinoma
Imaging: Gastric Carcinoma
Follow-up: Gastric Carcinoma
Multimedia: Gastric Carcinoma
References
Further Reading

References

  1. Park JM, Jang YJ, Kim JH, Park SS, Park SH, Kim SJ, et al. Gastric cancer histology: clinicopathologic characteristics and prognostic value. J Surg Oncol. Dec 1 2008;98(7):520-5. [Medline].

  2. Chin BB, Chang PP. Gastrointestinal malignancies evaluated with (18)F-fluoro-2-deoxyglucose positron emission tomography. Best Pract Res Clin Gastroenterol. Feb 2006;20(1):3-21.

  3. Kim YH, Lee KH, Park SH, Kim HH, Hahn S, Park DJ, et al. Staging of T3 and T4 Gastric Carcinoma with Multidetector CT: Added Value of Multiplanar Reformations for Prediction of Adjacent Organ Invasion. Radiology. Dec 18 2008;[Medline].

  4. Fujiwara M, Kodera Y, Satake H, Misawa K, Miura S, Nakayama G, et al. Navigation for laparoscopic gastrectomy with 3-dimensional computed tomography (3D-CT). Hepatogastroenterology. Jul-Aug 2008;55(85):1201-5. [Medline].

  5. Suzuki H, Hasegawa Y, Terada A, Ogawa T, Hyodo I, Suzuki M, et al. Limitations of FDG-PET and FDG-PET with computed tomography for detecting synchronous cancer in pharyngeal cancer. Arch Otolaryngol Head Neck Surg. Nov 2008;134(11):1191-5. [Medline].

  6. Lordick F, Ridwelski K, Al-Batran SE, Trarbach T, Schlag PM, Piso P. [Treatment of gastric cancer]. Onkologie. 2008;31 Suppl 5:32-9. [Medline].

  7. Anonymous. V.I. Gavrilov. Acta Virol. Nov 1975;19(6):510. [Medline].

  8. Ba-Ssalamah A, Prokop M, Uffmann M. Dedicated multidetector CT of the stomach: spectrum of diseases. Radiographics. May-Jun 2003;23(3):625-44.

  9. Baker MK, Kopecky KK. Endoscopic US in the staging of esophageal and gastric cancer. Radiology. Nov 1991;181(2):342-3. [Medline].

  10. Balfe DM, Koehler RE, Karstaedt N. Computed tomography of gastric neoplasms. Radiology. Aug 1981;140(2):431-6. [Medline].

  11. Botet JF, Lightdale CJ, Zauber AG. Preoperative staging of gastric cancer: comparison of endoscopic US and dynamic CT. Radiology. Nov 1991;181(2):426-32. [Medline].

  12. Cho JS, Kim JK, Rho SM. Preoperative assessment of gastric carcinoma: value of two-phase dynamic CT with mechanical iv. injection of contrast material. AJR Am J Roentgenol. Jul 1994;163(1):69-75. [Medline].

  13. Devesa SS, Blot WJ, Fraumeni JF Jr. Changing patterns in the incidence of esophageal and gastric carcinoma in the United States. Cancer. Nov 15 1998;83(10):2049-53. [Medline].

  14. Fishman EK, Urban BA, Hruban RH. CT of the stomach: spectrum of disease. Radiographics. Sep 1996;16(5):1035-54. [Medline].

  15. Forman D, Newell DG, Fullerton F. Association between infection with Helicobacter pylori and risk of gastric cancer: evidence from a prospective investigation. BMJ. Jun 1 1991;302(6788):1302-5. [Medline].

  16. Fuchs CS, Mayer RJ. Gastric carcinoma. N Engl J Med. Jul 6 1995;333(1):32-41. [Medline].

  17. Halvorsen RA Jr, Yee J, McCormick VD. Diagnosis and staging of gastric cancer. Semin Oncol. Jun 1996;23(3):325-35. [Medline].

  18. Harrison LE, Zhang ZF, Karpeh MS. The role of dietary factors in the intestinal and diffuse histologic subtypes of gastric adenocarcinoma: a case-control study in the U.S. Cancer. Sep 15 1997;80(6):1021-8. [Medline].

  19. Huntsman DG, Carneiro F, Lewis FR. Early gastric cancer in young, asymptomatic carriers of germ-line E- cadherin mutations. N Engl J Med. Jun 21 2001;344(25):1904-9. [Medline].

  20. Ingram M, Arregui ME. Endoscopic ultrasonography. Surg Clin North Am. Aug 2004;84(4):1035-59, vi. [Medline].

  21. Jadvar H, Tatlidil R, Garcia AA. Evaluation of recurrent gastric malignancy with [F-18]-FDG positron emission tomography. Clin Radiol. Mar 2003;58(3):215-21.

  22. Kim AY, Han JK, Seong CK. MRI in staging advanced gastric cancer: is it useful compared with spiral CT?. J Comput Assist Tomogr. May-Jun 2000;24(3):389-94. [Medline].

  23. Kriplani AK, Kapur BM. Laparoscopy for pre-operative staging and assessment of operability in gastric carcinoma. Gastrointest Endosc. Jul-Aug 1991;37(4):441-3. [Medline].

  24. Lee JH, Jeong YK, Kim DH. Two-phase helical CT for detection of early gastric carcinoma: importance of the mucosal phase for analysis of the abnormal mucosal layer. J Comput Assist Tomogr. Sep-Oct 2000;24(5):777-82. [Medline].

  25. Lee JM, Han YM, Kim CS. Fluoroscopic-guided covered metallic stent placement for gastric outlet obstruction and post-operative gastroenterostomy anastomotic stricture. Clin Radiol. Jul 2001;56(7):560-7. [Medline].

  26. Low VH, Levine MS, Rubesin SE. Diagnosis of gastric carcinoma: sensitivity of double-contrast barium studies. AJR Am J Roentgenol. Feb 1994;162(2):329-34. [Medline].

  27. Matsushita M, Oi H, Murakami T. Extraserosal invasion in advanced gastric cancer: evaluation with MR imaging. Radiology. Jul 1994;192(1):87-91. [Medline].

  28. McAteer D, Wallis F, Couper G. Evaluation of 18F-FDG positron emission tomography in gastric and oesophageal carcinoma. Br J Radiol. Jun 1999;72(858):525-9. [Medline].

  29. McLean A, Fairclough P. Endoscopic ultrasound--current applications. Clin Radiol. Feb 1996;51(2):83-98. [Medline].

  30. Neugut AI, Hayek M, Howe G. Epidemiology of gastric cancer. Semin Oncol. Jun 1996;23(3):281-91. [Medline].

  31. Ng VW, Husband JE, Nicolson VM. CT evaluation of treatment response in advanced gastric cancer. Clin Radiol. Mar 1996;51(3):215-20. [Medline].

  32. Parker SL, Tong T, Bolden S. Cancer statistics, 1996. CA Cancer J Clin. Jan-Feb 1996;46(1):5-27. [Medline].

  33. Parsonnet J, Friedman GD, Vandersteen DP. Helicobacter pylori infection and the risk of gastric carcinoma. N Engl J Med. Oct 17 1991;325(16):1127-31. [Medline].

  34. Powell J, McConkey CC. Increasing incidence of adenocarcinoma of the gastric cardia and adjacent sites. Br J Cancer. Sep 1990;62(3):440-3. [Medline].

  35. Shindoh N, Nakagawa T, Ozaki Y. Overlooked gastric carcinoma: pitfalls in upper gastrointestinal radiology. Radiology. Nov 2000;217(2):409-14. [Medline].

  36. Sohn KM, Lee JM, Lee SY. Comparing MR imaging and CT in the staging of gastric carcinoma. AJR Am J Roentgenol. Jun 2000;174(6):1551-7. [Medline].

  37. Stell DA, Carter CR, Stewart I. Prospective comparison of laparoscopy, ultrasonography and computed tomography in the staging of gastric cancer. Br J Surg. Sep 1996;83(9):1260-2. [Medline].

  38. Trenkner SW, Halvorsen RA Jr, Thompson WM. Neoplasms of the upper gastrointestinal tract. Radiol Clin North Am. Jan 1994;32(1):15-24. [Medline].

  39. Tsukuma H, Mishima T, Oshima A. Prospective study of "early" gastric cancer. Int J Cancer. Apr 15 1983;31(4):421-6.

  40. Vander Noot MR, Eloubeidi MA, Chen VK, et al. Diagnosis of gastrointestinal tract lesions by endoscopic ultrasound-guided fine-needle aspiration biopsy. Cancer. Jun 25 2004;102(3):157-63. [Medline].

  41. White RM, Levine MS, Enterline HT. Early gastric cancer. Recent experience. Radiology. Apr 1985;155(1):25-7. [Medline].

  42. Ziegler K, Sanft C, Zimmer T. Comparison of computed tomography, endosonography, and intraoperative assessment in TN staging of gastric carcinoma. Gut. May 1993;34(5):604-10. [Medline].

Keywords

gastric carcinoma, adenocarcinoma of the stomach, gastric adenocarcinoma, gastric cancer, stomach cancer, stomach carcinoma, gastric lymphoma, gastric leiomyosarcoma, gastric carcinoid, gastric sarcoma

Contributor Information and Disclosures

Author

Isaac Hassan, MB, ChB, FRCR, DMRD, Former Senior Consultant Radiologist, Department of Radiology, St Bernard's Hospital, Gibraltar
Isaac Hassan, MB, ChB, FRCR, DMRD is a member of the following medical societies: American Roentgen Ray Society and Royal College of Radiologists
Disclosure: Nothing to disclose.

Medical Editor

John L Haddad, MD, Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston
John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

David Andrew Nicholson, BM, BS, FRCR, Honorary Lecturer, Department of Radiology, University of Manchester; Consultant Gastrointestinal Radiologist, Department of Radiology, Hope Hospital, Salford Royal Hospital NHS Trust
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.