the lesser curvature wall depressed into the cavity, with a small depot of contrast medium (arrow). g Stomach X-ray (double contrast, horizontal position, left oblique projection): large tumor of the upper third of the stomach body, bypassed by the contrast medium (black arrows), with insignificant ulceration (white arrow). Conclusion: Cancer of the stomach body with mixed growth. The patient was examined by computed tomography to verify tumor spread.
h Computed tomogram of the stomach (tight filling with E-Z-CAT DRY, supine position): distinctly visualized is thickened wall of the upper third of the stomach body; uneven inner contour (arrow). i Computed tomogram of the stomach (tight filling with E-Z-CAT DRY, supine position): The infiltrative component spreads to the lesser omentum to form a tumor conglomerate together with the regional and para-aortic lymph nodes (white arrows); an enlarged lymph node is differentiated (black arrow). j, k, l Series of CT images: distinct visualization of enlarged lymph nodes (arrow). Conclusion: gastric cancer extending onto the lesser omentum with metastases into the lymph nodes of the abdominal cavity and the retroperitoneal space. m Macrospeci-men of a resected stomach: exophytic component of the tumor with insignificant ulceration. n Fragment of a macrospecimen (strip): thick gastric wall, tumor infiltration extends onto all layers; area of necrosis in center of tumor (arrows). o Macrospecimen of a resected stomach wall: moderately differentiated adenocarcinoma
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