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Interesting Case of the Month - (IGHP, ICOM) - April

april 2025

Clinical History-

61-year-old femalewith history of abdominal pain. Past H/o Rheumatoid arthritis on treatment. UGIE showed large ulcer along lesser curvature.

Radiology-

CECT -Irregular heterogeneously enhancing wall thickening in body of stomach

Microscopic Images-

Histology from biopsy bits showed proliferation of small cells within the small glands

Immunohistochemistry -

IHC performed for PanCK is noncontributory –

Diagnosis-

Gastric Adenocarcinoma
Reactive Gastropathy
Atrophic Gastritis
Gastric Amyloidosis