Statistics from Altmetric.com
A 45 year old woman presented with longstanding dyspepsia associated with oedema and a 4 kg weight loss over the previous six months. She gave no history of haematemesis or blood in stool, nocturnal sweating, or chronic diarrhoea. There was no familial history of gastric carcinoma. Surgical history included cure of eventration. Physical examination revealed tenderness in the epigastrium. Routine laboratory investigations revealed: haemoglobin 9.6 g% (normal range 10–14), mean corpuscular volume 80 fl (normal range 75–95), serum albumin 25 g/l (normal range 35–50), C reactive protein <3 (normal range <10), lactate dehydrogenase 355 IU (normal range <600), and β2 microglobulin 2 (normal range 0.5–1.2). The patient underwent upper gastrointestinal endoscopy with gastric biopsy and endoscopic ultrasound of the stomach (fig 1–3).
What is the diagnosis? What other entities could present with this endoscopic and histological picture?
See page 1589 for answer
This case is submitted by:
Robin Spiller, editor
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.