Calcification in a gastric neoplasm.

Accepted 12 December 1995 A 45-year-old woman presented with a history of vomiting, nausea, weakness, anorexia and a 45 kg weight loss the month before hospital admission. On examination we did not find any pathological features. Analytical studies showed normocytic and normochromic anaemia (haemoglobin 47 g/l, haematocrit 0.15). The rest of the analytical parameters were normal. Gastroscopy showed several single submucosal tumours in the subcardial area (4-5 cm in diameter), on the greater curvature (2-3 cm in diameter), the lesser curvature (1 cm in diameter) and the antrum (2 3 cm in diameter). The submucosal lesions had a normal mucosa except the one in the subcardial area which had a peripheral ulceration. Biopsy was performed but histology showed a normal gastric mucosa. Abdominal ultrasound showed epigastric masses on the posterior wall of the stomach (one 4 cm in diameter and another 5 cm in diameter) with inhomogenous echo pattern. A contrast barium examination of the upper gastrointestinal tract (figure 1) and an abdominal computed tomography (CT) scan (figure 2) were performed.