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A 59-year-old woman presented with a 5-month history of acid reflux symptoms which were initially relieved with a proton pump inhibitor. She complained of no weight loss, anorexia or abdominal pain but could feel a ‘fullness’ in her upper abdomen which prevented her from lying prone.
Examination revealed a hard epigastric mass which seemed separate from the liver and spleen. There was no lymphadenopathy or other positive findings.
Initial laboratory investigations showed a normal full blood count, urea and electrolytes, bilirubin and …
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