CASE 130

History: A 68-year-old man presents with anorexia, weight loss, and vomiting.

1. What should be included in the differential diagnosis of the imaging finding shown in the figure? (Choose all that apply.)

A. Crohn’s disease

B. Pancreatic carcinoma

C. Gastric mucosal prolapse

D. Transpyloric spread of lymphoma

E. Transpyloric spread of gastric cancer

2. What is the most common gastric malignancy?

A. Adenocarcinoma

B. Stromal tumor

C. Lymphoma

D. Metastasis

3. This was a case of a malignancy crossing the pylorus. What is the most likely malignancy to cross the pylorus?

A. Adenocarcinoma

B. Stromal tumor

C. Lymphoma

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