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Possible case of stomach carcinoma
Question: based on below diagnosis- which stage it is ? What is the most suitable suggested treatment based on below diagnosis . First diagnosis( endoscopy-10 January) - Poorly differentiated carcinoma, Non Hodgkin lymphoma .Recommended immunohistochemistry before undergoing any radical treatment . CT scan ( 16 January ) - long segment circumferential 9-16 mm diffuse mild enhancing wall thickeness for approx 6 cm length in pyloric region -s/o likely Ca stomach.adjacent mesentric few mild enhancing 10-16mm lymph nodes .Adv. endoscopy/biopsy correlation -right Supra renal nodule in the main body-? Incidentaloma -left renal simple cortical cyst. PET scan (18 January ) - Ill defined intensely hypermatbolic circumferential mural thickening seen involving the pyloric end of stomach ,as described -search of primary pathology.corelation with histopathology and immunochemistry is suggested. Hypermetabolic regional lymphadenopathy -suggestive of metastases/ involvement .
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Looks like carcinoma stomach ..needs IHC on biopsy block to rule out gastric lymphoma... Treatment depends on IHC report
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immunohistochemistry followed by further treatment
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IHC
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.