Vol. 3, Issue 4, Part L (2017)

Abstract
Introduction: Gastric carcinoma is the seventh most common cause of cancer related death in the United States and it also has an increased prevalence in Eastern Europe as well as in Asian countries. Early diagnosis and staging of gastric cancer always remains as a challenge for the clinician to do the best treatment planning for the patients. Aim: The aim of this present study was to find out the distribution, feature, localization, extent and tissue characteristics of gastric neoplasm by computed tomography and to correlate with the histo-pathological features. Material and methods: It was a prospective study conducted in the department of radio diagnosis of S.CB medical College, Cuttack, Odisha during September 2011 to September 2013 (2 years). Patients with provisional diagnosis of gastric neoplasm were subjected to contrast enhanced CT scan of abdomen and upper gastrointestinal endoscopic biopsy. Result: Out of 60 patients 40 patients were male and 20 patients were female with median age group of 51 to 60 years (mean age 56.9 years). Pyloric antrum was involved in 33.3% of cases followed by body of stomach (31.7%). Concentric wall thickness was seen in 86.7% of cases. Average wall thickness was 1.8cm. Lymphadenopathy was observed in 81.7% cases. Contiguous structure involvement was seen most commonly as fat stranding and involvement of gastro-oesophageal junction and pancreas. Metastasis to liver and ovary were also noted. Conclusion: CT evaluation of stomach is helpful in detection and evaluation of variety of benign and malignant neoplasms with adjacent structure involvement in a non-invasive way. It also helps in detection of distant metastasis.