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Radiology G.I.T. a102e59e

Following sign is diagnostic of which condition?

A
Peptic ulcer disease
B
Strawberry gallbladder
C
Carcinoma stomach
D
Patent vitellointestinal duct
High-Yield Explanation
Ans. C. Carcinoma stomacha. Ulcerating carcinoma of the stomach with mass is the most frequent type encountered in North America and Western Europe.b. These carcinomas have been described as irregular, saucer-shaped lesions with ulcerated centers.c. Such a configuration may produce the meniscus or Carman sign, which indicates a large irregular ulcer with a mass.d. This is a long-present lesion. The size of the tumor is not in itself an indication of benignity or malignancy.e. The most important criteria for malignancy are irregularity of the ulcer, failure to project from the lumen of the stomach, and nodularity of the surrounding mass.f. Occasionally a benign ulcer surrounded by a large ulcer mound may simulate an ulcerating carcinoma.Carman Meniscus SignLarge gastric ulcer seen on UGI convex in towards the lumen of the stomach, rolled edges suggestive of malignancy

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