J.2.9 Adenocarcinoma of the pyloric end of stomach
- Specimen from a 61 years old women with a history of pain in the right hypochondrium, vomiting, loss of appetite and loss of weight for 3 months.
- The specimen is that of the stomach and appendix.
- The specimen of the stomach shows a large growth in the pyloric area.
- The tumour is seen to infiltrate the whole thickness of the stomach wall, with ulceration in the middle of the growth (shown by a probe).
- Whitish nodules can be seen on the serosal surface of the stomach. (Satellite tumour nodules or lymph nodes).
- An enlarged lymph node can also be seen. (Pre pyloric / gastro-duodenal group)
- The specimen of the appendix shows a small nodule in the distal part.
