[ Monash University ]

Museum of Pathology

ADENOCARCINOMA STOMACH

ADENOCARCINOMA STOMACH

Clinical History

This 60 year old woman presented with ascites. Aspiration revealed blood stained fluid. Cytology was positive for malignant cells.

Pathology

The stomach has been mounted with a portion of spleen and opened to display the mucosal surface. On the greater curvature adjacent to the spleen is a large fungating tumour 12 cm in greatest diameter, which projects into the lumen. Histologically this was a well differentiated adenocarcinoma of the stomach.

Note

Transcoelomic spread is well recognised with gastric cancer.