The occurrence of calcification in gastric cancer is extremely rare.
Since the first case report by Gruber in 1913, there are about 50 cases in the published literature. (The American Journal of Gastroenterology, 69:481, 1978)
The purpose of this paper is to report an additional case of these rare entity with endoscopic observation.
This 63 year old, male patient had nausea, vomiting and epigastric hard mass, that is a large apple size, for about 2 months duration. The simple abdomen of this patient showed mottled, stippled, granular, punctuate, sand like and miliary calcifying mass in the upper abdomen. And this was confirmed to mucinous adenocarcinoma of the stomach with upper G-I study, computed tomography, ultrasonography and endoscopic biopsy.
The surgery was denied. The fine, sand-like calcifications found in gastric carcinomas appear to be characteristic of a mucus-secreting tumor. It is of interest that the findings permitting correct diagnosis were clearly indicated on a simple film of the abdomen. Afew examples which were discorved on pathological examination, but without roentgenographic study, are not considered here.
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