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D Fig. 20a-g. Female patient K., age 72. Diagnosis: gastric cancer. a Stomach X-ray (tight filling, horizontal position, left oblique projection): markedly uneven contour of the anterior wall of upper third of the stomach body with an ulcer niche not extending beyond the stomach contour (arrow). b Target X-ray of the stomach (tight filling, vertical position, anterior projection): in projection of the lesser curvature of the anterior wall in the upper third of the stomach body, there is a depot of contrast medium surrounded by areas with changed relief (arrow).

c Stomach X-ray (double contrast, horizontal position, left oblique projection): the anterior wall of the upper third of the stomach body is thickened due to intramural infiltration (arrow). d Stomach X-ray (double contrast, vertical position, left oblique projection): infiltrative component of the tumor with ulceration (arrows). e Stomach X-ray (double contrast, vertical position, left oblique projection): pronounced thickening of the anterior wall of the body and the upper part due to intramural infiltration (arrow). Conclusion: infiltrative-ulcerative cancer of the anterior wall in the upper third of the stomach body and the upper part of the stomach. f Macrospecimen of a resected stomach: a portion showing infiltration of the anterior wall and the upper part with ulcerated surface coated occasionally with fibrin. Peripheral convergence of the folds toward smooth parts of the relief near the infiltration ridge slightly elevated over the surface of the mucous membrane (arrows).

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