Left: Head to mid thigh mip image showing whole metastases, Right:Head to mid thigh PET/CT coronal image shows bony and lymph-node metastases

Left: Head to mid thigh PET/CT coronal image shows big mass in the stomach with abdominal and bony metastases, Middle: Head to mid thigh PET/CT coronal image shows big mass in the stomach, middle sternum deposit with abdominal and bony metastases, Right: Head to mid thigh PET/CT sagital image shows whole spine metastases

PET/CT axial image shows stomach mass and porta hepatic lymph deposits

An old female patient with Gastric Cancer

Background: Stomach cancer (gastric cancer) usually grows slowly over many years when cancer cells form in the inner lining of stomach growing into a tumor. The main risk factors may involve infection with a H. pylori; inflammation (gastritis); pernicious anemia, stomach polyps; Smoking; Being overweight or obese; A diet high in smoked, pickled, or salty foods; Stomach surgery for an ulcer; Type-A blood; Epstein-Barr virus infection and Certain genes.

History: Known case (69 years female) of Ca. stomach diagnosed and operated on Feb 7, 2020. Distal gastrectomy was performed. Histopathology showed Ca. stomach. PET/CT scan was done on March 07, 2020 and patient subsequently received 03 cycles of chemotherapy which completed on June 30, 2020.

Our Findings: This is an abnormal FDG avid PET/CT scan.

As compared to the scan of March 07, 2020 there has been marked progression in disease with re-demonstration of increased uptake of the previously discerned lesions as well as widespread new FDG avid lesions in the chest, abdomen, pelvis, inguinal regions and widespread skeletal deposits as described.