Stomach cancer other imaging findings: Difference between revisions

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Fluroscopy may be diagnostic of stomach cancer.
Fluroscopy may be diagnostic of stomach cancer.


==Fluroscopy==
==Fluoroscopy==
Early gastric cancer (elevated, superficial, shallow):
Early gastric cancer (elevated, superficial, shallow):


*type I: elevated lesion, protrudes >5 mm into lumen (polypoid)
*Type I: elevated lesion, protrudes >5 mm into lumen (polypoid)
*type II: superficial lesion (plaque-like, mucosal nodularity, ulceration)
*Type II: superficial lesion (plaque-like, mucosal nodularity, ulceration)
*type III: shallow, irregular ulcer crater with adjacent nodular mucosa and clubbing/fusion/amputation of radiation folds  
*Type III: shallow, irregular ulcer crater with adjacent nodular mucosa and clubbing/fusion/amputation of radiation folds  


Advanced gastric cancer:
Advanced gastric cancer:

Revision as of 16:18, 29 August 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]

Overview

Fluroscopy may be diagnostic of stomach cancer.

Fluoroscopy

Early gastric cancer (elevated, superficial, shallow):

  • Type I: elevated lesion, protrudes >5 mm into lumen (polypoid)
  • Type II: superficial lesion (plaque-like, mucosal nodularity, ulceration)
  • Type III: shallow, irregular ulcer crater with adjacent nodular mucosa and clubbing/fusion/amputation of radiation folds

Advanced gastric cancer:

  • Polypoid cancer can be lobulated or fungating
  • Lesion on dependent or posterior wall; filling defect in barium pool
  • Lesion on nondependent or anterior wall; etched in white by a thin layer of barium trapped between edge of mass & adjacent mucosa
  • Ulcerated carcinoma (penetrating cancer): 70% of all gastric cancers[1]

References

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