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CASE REPORT
Year : 2023  |  Volume : 7  |  Issue : 1  |  Page : 17-20

Layered enhancement with punctate foci of calcifications: A unique computed tomographic feature of mucinous adenocarcinoma of stomach


1 Department of Radiology, Central Hospital, South-Eastern Railway, Kolkata, West Bengal, India
2 Department of Pathology, Central Hospital, South-Eastern Railway, Kolkata, West Bengal, India
3 Department of Radiology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India

Correspondence Address:
Pradosh Kumar Sarangi
Department of Radiology, All India Institute of Medical Sciences, Deoghar, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/oji.oji_2_23

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Calcifications are rare in gastric adenocarcinoma and all reported cases correspond to a mucinous adenocarcinoma. Mucinous gastric adenocarcinoma (MGC) is a rare histological variety representing approximately 2.6%–6.6% of gastric cancers, sometimes associated with punctate and miliary calcification. We describe one such case having punctate calcifications with characteristic contrast-enhanced computed tomography showing hypoenhancing middle and outer layer of stomach suggestive of extracellular mucin pool, primarily in submucosa and deeper layer and thin enhancing inner layer suggestive of normal mucosa, referred to as layered enhancement pattern. We also describe the radiopathological correlation of MGC with brief review of literature.


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