Case 96
Clinical Presentation
A 57-year-old woman presents with midepigastric pain, nausea, vomiting, and weight loss.
(A) Single-contrast study of the stomach shows a 1-cm ulcer crater (arrow) along the greater curvature surrounded by a nodular, circumferential mass (arrowheads). The ulcer crater appears intraluminal rather than extending beyond the confines of the gastric lumen. (B) Double-contrast study again shows the crater (arrow) surrounded by a circumferential mass. There are no radiating folds extending to the ulcer crater, and the adjacent gastric mucosa appears featureless. The nearby gastric rugae are markedly thickened.
Differential Diagnosis
• Malignant gastric ulcer:
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